论文部分内容阅读
目的分析七氟醚在小儿扁桃体手术麻醉中的应用特点。方法 30例行扁桃体切除术患儿,ASAⅠ级,患儿均无明显心肺疾病,术前均无发热、咳嗽及哮喘病史,随机分为A、B两组,每组15例。术前均肌内注射阿托品0.01~0.015 mg/kg。A组诱导采用面罩吸入七氟醚,待睫毛反射消失后开放静脉。开放静脉后,所有患儿给予芬太尼2μg/kg,阿曲库铵0.5 mg/kg,异丙酚0.2~0.3 mg/kg,气管插管。B组诱导采用肌内注射氯胺酮6~8 mg/kg,待患儿意识消失后开放静脉。记录各组患儿诱导时间,苏醒时间,诱导后分泌物情况及其他不良反应。结果 A组患儿的诱导时间,诱导后患儿分泌物及苏醒时间均明显少于B组。结论对于行扁桃体切除术的患儿,吸入七氟醚麻醉诱导明显优于肌内注射氯胺酮。
Objective To analyze the application characteristics of sevoflurane in pediatric tonsil surgery. Methods Thirty patients with ASA grade I and II had no obvious cardiopulmonary diseases. None of them had fever, cough or asthma history before operation. They were randomly divided into A and B groups, 15 cases in each group. Preoperative intramuscular injection of atropine 0.01 ~ 0.015 mg / kg. Group A was induced to inhale sevoflurane with a mask, until the lashes disappeared after the opening of veins. After opening the vein, all children were given fentanyl 2μg / kg, atracurium 0.5 mg / kg, propofol 0.2 ~ 0.3 mg / kg, intubation. B group induced by intramuscular ketamine 6 ~ 8 mg / kg, to be open after the disappearance of consciousness in children with intravenous. The induction time, recovery time, secretion after induction and other adverse reactions were recorded in each group. Results The induction time and the secretions and recovery time of children in group A were significantly less than those in group B. Conclusion In children undergoing tonsillectomy, induction of sevoflurane anesthesia was significantly better than intramuscular injection of ketamine.