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目的探究七氟烷在小儿短小手术麻醉效果和安全性分析。方法选择2013年5月-2014年5月医院收治的短小手术的患儿92例,随机分为对照组和观察组各46例,对照组给予氯胺酮诱导、维持麻醉,观察组给予加压面罩密闭吸入七氟烷,观察对比2组麻醉效果和安全性分析。结果观察组麻醉诱导时间、苏醒时间均短于对照组(P<0.05)。观察组T2时MAP、HR明显低于对照组(P<0.05);观察组T3时HR低于对照组(P<0.05)。观察组不良反应发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论在小儿短小手术中行七氟烷吸入麻醉诱导快,维持麻醉效果确切,术毕苏醒快,围术期呼吸和循环系统较平稳,且用药安全性较高。
Objective To investigate the anesthesia efficacy and safety of sevoflurane in short pediatric surgery. Methods Ninety-two children with short-term surgery admitted from May 2013 to May 2014 in our hospital were randomly divided into control group (n = 46) and observation group (n = 46). The control group was induced by ketamine and the anesthesia was maintained. The observation group was given pressure- Inhalation of sevoflurane, observed and compared two groups of anesthesia and safety analysis. Results The induction time and recovery time of observation group were shorter than those of control group (P <0.05). The MAP and HR in observation group T2 were significantly lower than those in control group (P <0.05). HR in observation group T3 was lower than that in control group (P <0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group, with statistical significance (P <0.05). Conclusion In short pediatric surgery, sevoflurane inhalation anesthesia induced fast, maintain the exact anesthesia, wake up quickly after surgery, perioperative respiratory and circulatory system is relatively stable, and medication safety is high.