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目的观察七氟醚吸入麻醉用于婴幼儿电子胃镜检查的临床效果。方法选取行电子胃镜检查的婴幼儿60例,随机分为观察组和对照组各30例。对照组予全凭静脉麻醉,观察组予七氟醚吸入麻醉。观察2组血流动力学、麻醉情况、住院时间及不良反应发生情况。结果 2组插管前至术毕MAP、Sp O2水平比较差异无统计学意义(P>0.05);2组插管后5min、15min及术毕时HR水平与插管前比较差异有统计学意义,且观察组插管后5min、15min时HR水平高于对照组(P<0.05);观察组睁眼、定向力恢复、出院时间均比对照组短(P<0.01);观察组不良反应发生率10.00%,低于对照组的33.33%(P<0.05)。结论七氟醚吸入麻醉用于婴幼儿电子胃镜检查效果优异,对患儿血流动力学影响及不良反应均较小,易为患儿及其家属接受,值得临床推广应用。
Objective To observe the clinical effect of sevoflurane inhalation anesthesia for electronic gastroscopy in infants and toddlers. Methods Sixty infants who underwent endoscopy were randomly divided into observation group (30 cases) and control group (30 cases). The control group was given intravenous anesthesia, and the observation group was given sevoflurane anesthesia. Two groups were observed hemodynamics, anesthesia, hospital stay and adverse reactions. Results The levels of MAP and Sp O2 in the two groups before intubation were no significant difference (P> 0.05). The levels of HR at 5 and 15 minutes after operation and before operation were significantly different between two groups (P <0.05). The HR of the observation group at 5 min and 15 min after intubation was significantly higher than that of the control group (P <0.05). The eyes of the observation group recovered their eyesight and the orientation force was recovered and the discharge time was shorter than that of the control group (P <0.01) The rate was 10.00%, lower than the control group 33.33% (P <0.05). Conclusion Sevoflurane inhalation anesthesia for infants with excellent endoscopic electronic gastroscopy, hemodynamic effects and adverse reactions in children are small, easy to accept for children and their families, is worthy of clinical promotion and application.