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目的探讨七氟烷吸入麻醉和丙泊酚-瑞芬静脉麻醉两种麻醉方式在小儿短小腹腔镜手术中的临床应用,为小儿腹腔镜手术提供安全可靠的麻醉方法。方法选择80例符合入选标准的小儿腹腔镜手术患儿,均于气管内全麻下行手术。随机分成两组,I组接受七氟烷吸入诱导和维持麻醉,Ⅱ组采用丙泊酚-瑞芬静脉复合全麻,对比两组的麻醉效果并进行分析。结果七氟烷吸入诱导迅速,呼吸道分泌物少,血流动力学稳定,术毕苏醒较静脉复合全麻快,麻醉效果满意。结论七氟烷用于小儿腹腔镜手术安全可靠,优于静脉复合麻醉。
Objective To investigate the clinical application of anesthesia with sevoflurane and propofol - rephenazine intravenous anesthesia in short laparoscopic surgery in children and provide a safe and reliable anesthetic method for pediatric laparoscopic surgery. Methods Eighty children with pediatric laparoscopic surgery who met the inclusion criteria were surgically treated by endotracheal general anesthesia. Randomly divided into two groups, group I received inhalation of sevoflurane induction and maintenance of anesthesia, group Ⅱ propofol - reifenan intravenous anesthesia, anesthesia effects were compared and analyzed. Results Sevoflurane induced rapid induction, less respiratory secretions, hemodynamic stability, complete recovery of anesthesia than intravenous anesthesia, anesthesia with satisfactory results. Conclusion Sevoflurane for pediatric laparoscopic surgery is safe and reliable, superior to intravenous anesthesia.