静安丙泊酚在小儿气管异物取出术中的应用研究

Propofol Anaesthesia for Tracheal Foreign Body Extraction in Infants

目的：比较两种麻醉方法在小儿气管异物取出术申的应用。 方法：48例气管异物患儿分别采用γ-羟基丁酸钠（γ组．n=23）和静安丙泊酚麻醉（P组．n=25）．比较麻醉诱导和苏醒的时间，术中循环呼吸变化，术后并发症及麻醉满意度． 结果：P组麻醉诱导及苏醒时间明显短于γ组（γ〈0.05），术中循环呼吸变化两组相似；麻醉满意度无明显差异．但P组置镜呛咳例数明显少于γ组（P〈0.05）；手术后恶心呕吐发生率P组低于γ组（P〈0.05）． 结论：静安丙泊酚麻醉是一种较为理想安全的用于小儿气管异物取出术的麻醉方法．

Objective： To investigate the effect of two anaesthetic methods on the tracheal foreign body extraction in infants. Methods： 48 infants with tracheal foreign body were divided into propefol anaesthesia group （P group,n=25） and Sodium γ -Hydroxybutrate anaesthesia group （γgroup, n=23）. The anaesthetic induction time and revival time, the satisfaction of anaesthesia the index of curculation and respiration, and postoperative complication were recorded. Results： The anaesthetic induction time and revival time in group P were shorter than group γ significantly （p 〈0.05）; the change of cycle and respirabon were similarity in both group; The satisfaction of anaesthesia have no difference between group γ and P. but the case of choke and postoperative nausea and vomiting in group P were less than group γ （P〈0.05）. Conclusions： The propofol anaesthesia is safety method to the tracheal foreign body extraction in infants.