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目的:探讨丙泊酚联合七氟烷对小儿麻醉苏醒期躁动的临床效果。方法:选择2013年8月-2015年8月在我院接受手术治疗的患儿53例,根据麻醉方法不同,将研究对象分为丙泊酚组(17例)、七氟烷组(19组)和联合组(17例),分别给予丙泊酚,七氟烷以及丙泊酚联合七氟烷进行麻醉并维持。观察并比较各组患儿的手术时间、麻醉时间、清醒时间、躁动发生率以及苏醒期躁动评分。结果:三组患儿的手术时间和麻醉苏醒时间比较,差异均无统计学意义(P>0.05);联合组患儿躁动发生率及躁动评分均低于七氟烷组和丙泊酚组,差异具有统计学意义(P<0.05);三组患儿恶心、呕吐等不良反应的发生率比较,差异无统计学意义(P>0.05)。结论:丙泊酚联合七氟烷可显著改善小儿麻醉苏醒期躁动情况,临床效果显著。
Objective: To investigate the clinical effect of propofol combined with sevoflurane on agitation in pediatric anesthesia. Methods: Fifty-three children undergoing surgery in our hospital from August 2013 to August 2015 were selected and divided into propofol group (n = 17), sevoflurane group (n = 19) ) And combination group (17 cases) were given propofol, sevoflurane and propofol sevoflurane anesthesia and maintenance. Observe and compare the operation time, anesthesia time, awake time, the incidence of agitation and wakefulness agitation score in each group. Results: There was no significant difference between the three groups in the operation time and anesthesia recovery time (P> 0.05). The incidence of agitation and restlessness in children in combination group were lower than those in sevoflurane group and propofol group (P <0.05). There was no significant difference in the incidence of nausea and vomiting between the three groups (P> 0.05). Conclusion: Propofol combined with sevoflurane can significantly improve the restlessness of anesthesia in pediatric anesthesia, the clinical effect is significant.