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目的探讨七氟烷在小儿临床麻醉中的应用效果。方法次选取我院于2015年6月至2016年9月间收治的80例患儿进行研究,按照患儿进行手术的先后顺序,分为第一组和第二组,第二组40例患儿接受七氟烷麻醉,第一组40例患儿则接受异氟烷麻醉,对比两组患儿的拔管时间、苏醒时间、躁动哭闹反应和不良反应。结果第二组患儿的自主呼吸时间、拔管时间、麻醉苏醒时间分别为(4.1±1.3)min、(5.0±1.7)min、(6.3±1.2)min,第一组为(7.6±1.3)min、(10.5±1.3)min、(12.7±2.1)min,第二组患儿的自主呼吸时间、拔管时间、麻醉苏醒时间均显著优于第一组;第二组患儿并未出现不良反应,第一组出现6例不良反应,其发生率为15%,第二组不良反应低于第一组;第二组出现1例躁动哭闹,发生率为1.25%;第一组出现8例躁动哭闹,发生率为20%,第二组躁动哭闹发生率明显低于第一组。对比两组数据,数据之间存在显著差异,差异具有统计学意义(P<0.05)。结论七氟烷在小儿临床麻醉中的应用效果突出,对血液动力学指标影响不大,缩短患儿苏醒时间,保障患儿指标的稳定,值得应用。
Objective To investigate the effect of sevoflurane in pediatric clinical anesthesia. MethodsSelect 80 cases of children admitted to our hospital from June 2015 to September 2016 were studied according to the order of the children’s surgery, divided into the first group and the second group, the second group of 40 patients Children receiving sevoflurane anesthesia, the first group of 40 children received isoflurane anesthesia, compared with the two groups of children extubation time, wake up time, restless crying reactions and adverse reactions. Results The spontaneous respiration time, extubation time and anesthesia recovery time in the second group were (4.1 ± 1.3) min, (5.0 ± 1.7) min and (6.3 ± 1.2) min, respectively. The first group was (7.6 ± 1.3) min, (10.5 ± 1.3) min and (12.7 ± 2.1) min respectively. The spontaneous respiration time, extubation time and anesthesia recovery time in the second group were significantly better than the first group; the second group did not appear to be bad Reaction, the first group of 6 adverse reactions, the incidence was 15%, the second group of adverse reactions lower than the first group; the second group of 1 case of restless crying, the incidence was 1.25%; the first group of 8 Cases of restless crying, the incidence was 20%, the second group of restless crying incidence was significantly lower than the first group. Comparing the two groups of data, there are significant differences between the data, the difference was statistically significant (P <0.05). Conclusion Sevoflurane in pediatric clinical anesthesia in the application of outstanding results, little effect on hemodynamic indicators, shorten the recovery time of children to protect the stability of children with indicators, it is worth to apply.