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目的分析七氟烷低流量麻醉在小儿骨科手术中应用的优势。方法选择2014年1月至2015年2月收治的患儿72例,随机将其分成对照组和治疗组,每组各36例。两组患儿均采用手术治疗,麻醉诱导方法相同,治疗组七氟烷氧流量控制在0.5 L/min,对照组氧流量控制在2.5 L/min,观察两组患儿治疗效果。结果两组患儿的生命体征及肝肾功能相比,差异无统计学意义(P>0.05);在消耗相同剂量七氟烷时,治疗组麻醉维持时间明显长于对照组,差异有统计学意义(P<0.05)。结论在小儿骨科手术中采用七氟烷低流量麻醉效果明显,能有效提高七氟烷的使用率,对患儿的生命体征及肝肾功能无明显影响,可推广应用。
Objective To analyze the advantages of sevoflurane low-flow anesthesia in pediatric orthopedic surgery. Methods Seventy-two children admitted from January 2014 to February 2015 were randomly divided into control group and treatment group, with 36 cases in each group. The two groups of children were treated by surgery, the same induction of anesthesia, sevoflurane oxygen flow control in the treatment group 0.5 L / min, the control group oxygen flow control at 2.5 L / min, the two groups of children treated. Results There was no significant difference in vital signs and liver and kidney function between the two groups (P> 0.05). When consuming the same dose of sevoflurane, the anesthesia maintenance time in the treatment group was longer than that in the control group, the difference was statistically significant (P <0.05). Conclusions Sevoflurane anesthesia with low-flow anesthesia in pediatric orthopedic surgery is obvious. It can effectively improve the usage rate of sevoflurane and has no obvious effect on the vital signs and liver and kidney function of children. It can be used widely.