异氟醚与氯胺酮麻醉诱导对婴儿唇腭裂修复术后苏醒的比较

Comparison of postoperative emergence between the Ketamine and isoflurane in the anesthesia induction for cleft lip and palate repair of infants

目的比较异氟醚与氯胺酮麻醉诱导对婴儿唇腭裂术后苏醒的影响。方法对208例1～12月婴儿全麻下行唇腭裂修复术的病例进行分析,按照不同的麻醉诱导方法分为氯胺酮组(K组)和异氟醚组(I组),比较两组术后自主呼吸恢复时间、拔管时间、清醒时间、送入恢复室的例数、恢复室停留时间以及苏醒期躁动发生率。结果I组自主呼吸恢复时间、拔管时间、清醒时间、送入恢复室的例数以及恢复室停留时间均少于K组,而I组苏醒期躁动的发生率高于K组。结论和氯胺酮诱导相比,异氟醚吸入诱导用于婴儿唇腭裂修复术有利于患儿术后的快速苏醒,但同时苏醒期躁动的发生率增加。

Objective To compare the ketamine and isoflurane as anesthesia induction in the effect of postoperative emergence for cleft lip and palate repair of infants.Metheds From 2000 to 2003,208 infants with cleft lip and palate received repair were analyzed retrospectively.According to use of different anesthesia induction, these cases were divided into two groups.Results In the time of recovered autonomous respiration, intubation,consciousness,staying time of post anesthesia care unit （PACU） and cases of sent to PACU,the isoflurane group was less than that ketamine group.But in the accidence of emergence agitation,the isoflurane group was higher than that ketamine group. Conclusion postoperative increased for Comparing with the ketamine,anestheitc induction with isoflurane can facilitate rapid emergence.And at the same time, the accidence of emergence agitation would be cleft lip and palate repair of infants.