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目的探讨一种安全有效、平稳快速、无痛舒适的小儿麻醉诱导模式。方法选择80例2～12岁手术患儿,随机分为七氟醚吸入诱导组(S组)和静脉麻醉诱导组(M组)。监测记录诱导期两组患儿血流动力学改变,观察记录诱导时间、哭闹例数、静脉一针穿刺成功例数(率),观察有无呕吐、屏气、呛咳等麻醉相关并发症。结果 S组血流动力学变化较M组小(P<0.05),与M组比较,S组诱导时间明显缩短、哭闹例数明显减少、静脉一针穿刺成功率更高(P<0.05),两组患儿麻醉相关并发症均有发生,但差异无统计学意义。结论七氟醚吸入诱导方式用于小儿麻醉安全可行、平稳快速,亲子型诱导模式凸显舒适化医疗优势。
Objective To explore a safe, effective, stable and rapid, painless and comfortable mode of pediatric anesthesia induction. Methods Eighty children aged 2 to 12 years old were randomly divided into sevoflurane induction group (group S) and intravenous anesthesia induction group (group M). During the induction period, the hemodynamic changes in both groups were recorded and recorded. The induction time, the number of crying cases, the number of successful cases of venous needle puncture were observed and recorded, and the complications such as vomiting, breath holding and choking were observed. Results Compared with M group, the hemodynamic changes in group S were smaller than those in group M (P <0.05). Compared with group M, the induction time in group S was significantly shortened, the number of crying cases was significantly reduced, and the success rate of first needle puncture was higher (P <0.05) There was no significant difference in anesthesia-related complications between the two groups. Conclusions Induction of sevoflurane is safe and feasible for pediatric anesthesia and steady and rapid. The parent-child induction mode highlights the advantages of comfortable medical treatment.