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目的:分析小儿心血管手术麻醉时用药不同所出现的各种不良反应。方法:随机选取河南省胸科医院2015年4月至2016年4月需行小儿心血管手术的260例患儿作研究,根据用药不同分成两组,给予静脉麻醉药的患儿为对照组,给予吸入麻醉药的患儿为研究组,对比两组患儿麻醉用药期间及之后,不良反应的发生率,平均住重症加强护理病房(ICU)时长、平均住院时长、治疗费用的情况。结果:研究组不良反应总发生率13.43%低于对照组26.18%,差异具有统计学意义(P<0.05)。研究组住ICU时长与平均住院时间分别为(0.6±0.2)d、(7.5±0.2)d均少于对照组的(1.2±0.5)d和(13.2±1.7)d,对照组治疗花费(9640.0±680.0)元高于研究组(5250.0±820.0)元,差异均具有统计学意义(P<0.05)。结论:吸入麻醉药异氟醚在使用过程中,因其毒副作用较低可减少不良反应,后期恢复较好降低住院时间和费用,安全性高。
OBJECTIVE: To analyze the various adverse reactions that occur in different anesthetics of pediatric cardiovascular surgery. Methods: A total of 260 children undergoing pediatric cardiovascular surgery from April 2015 to April 2016 in Henan Chest Hospital were randomly selected for study. The patients were divided into two groups according to the drug use, and the children given intravenous anesthetic drug as the control group. The study group was given inhaled anesthetics to compare the incidence of adverse reactions during and after anesthesia in the two groups, mean intensive care unit intensive care unit (ICU) duration, average duration of hospital stay, and treatment costs. Results: The total incidence of adverse reactions in the study group was 13.43% lower than that in the control group (26.18%), the difference was statistically significant (P <0.05). The length of stay in the study group and the average length of hospital stay were (0.6 ± 0.2) days and (7.5 ± 0.2) days respectively, less than (1.2 ± 0.5) days and (13.2 ± 1.7) days in the control group ± 680.0) yuan higher than the research group (5250.0 ± 820.0) yuan, the difference was statistically significant (P <0.05). Conclusion: Inhalation anesthesia isoflurane in the process of use, because of its low side effects can reduce adverse reactions, postoperative recovery is better to reduce hospitalization time and costs, high safety.