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目的观察小儿短小手术中七氟烷联合小剂量舒芬太尼的麻醉效果。方法选取医院择期行短小手术的小儿患者50例为研究对象,随机分为对照组和观察组,每组25例。对照组采用单纯七氟烷麻醉,观察组在七氟烷基础上加用小剂量舒芬太尼。观察比较2组患儿的麻醉效果及不良反应发生情况。结果观察组麻醉诱导时间(1.28±0.16)min,少于对照组的(3.16±0.35)min(P<0.05);2组术后睁眼时间、术后完全清醒时间比较,差异无统计学意义(P>0.05);观察组术后不良反应发生率为12.00%,低于对照组的36.00%(P<0.05)。结论七氟烷联合小剂量舒芬太尼在小儿短小手术中有较好的麻醉效果,麻醉诱导时间短,不良反应发生率低,安全性和稳定性良好。
Objective To observe the anesthetic effect of sevoflurane and sufentanil in short-term pediatric surgery. Methods Fifty cases of pediatric patients undergoing elective surgery were randomly divided into control group and observation group, with 25 cases in each group. The control group was treated with sevoflurane alone. The observation group was given low-dose sufentanil on the basis of sevoflurane. The effects of anesthesia and adverse reactions in two groups were observed and compared. Results The induction time of anesthesia in the observation group was (1.28 ± 0.16) min less than that in the control group (3.16 ± 0.35) min (P <0.05). There was no significant difference in the open eye time and the complete awake time between the two groups (P> 0.05). The incidence of postoperative adverse reactions in the observation group was 12.00%, which was lower than that in the control group (36.00%, P <0.05). Conclusion Sevoflurane combined with low-dose sufentanil has good anesthetic effect in short-term pediatric surgery. The induction time is short, the incidence of adverse reactions is low, and the safety and stability are good.