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目的观察七氟烷应用于儿科诱导麻醉的临床效果,为今后的临床麻醉实践提供借鉴和参考。方法收集2013年4月~2013年11月期间112例患儿资料,随机将患儿分为两组,即七氟烷麻醉组和氯胺酮麻醉组。分别采用两种不同的麻醉方式,对比观察诱导麻醉效果。结果七氟烷组患儿诱导时间(1.6±0.3)min、术后意识恢复时间(6.2±1.5)min以及拔管时间(12.3±3.5)min均低于氯胺酮麻醉组(t=33.92,8.66,8.76,P<0.01);七氟烷麻醉组患儿总体不良反应为7.1%,显著低于氯胺酮组的不良反应率(23.2%),具有统计学差异(P<0.05)。结论七氟烷吸入式全麻用于小儿的诱导麻醉,起效时间快,麻醉不良反应小,术后能够尽快恢复意识,麻醉效果良好,具有临床推广价值。
Objective To observe the clinical effect of sevoflurane on pediatric induced anesthesia and to provide reference and reference for clinical anesthesia in the future. Methods A total of 112 children were collected from April 2013 to November 2013. The children were randomly divided into two groups: sevoflurane anesthesia group and ketamine anesthesia group. Two different methods of anesthesia were used to compare the effects of induction of anesthesia. Results The induction time (6.2 ± 0.3) min, postoperative recovery time (6.2 ± 1.5) min and extubation time (12.3 ± 3.5) min in sevoflurane group were significantly lower than those in ketamine group (t = 33.92, 8.66, 8.76, P <0.01). The overall adverse reactions in the sevoflurane group were 7.1%, which were significantly lower than those in the ketamine group (23.2%) (P <0.05). Conclusion Sevoflurane inhalation anesthesia for induction of anesthesia in children with fast onset of anesthesia, adverse reactions, as soon as possible to regain consciousness, good anesthesia, with clinical value.