小儿七氟烷全身麻醉苏醒期烦躁的研究进展

Research advance in emergence delirium in children with sevoflurane general anesthesia

七氟烷作为一种无刺激味、气道刺激性小、诱导迅速的吸入麻醉药,目前已广泛应用于各类小儿外科手术全身麻醉的诱导和维持中。但小儿七氟烷全身麻醉苏醒期烦躁的发生率显著高于成人,对手术效果及苏醒室医护人员配备等都带来了严重的影响。文章系统回顾小儿七氟烷全身麻醉苏醒期烦躁的研究进展,探讨对该现象的合理干预措施,以便提高麻醉质量。

As a non-pungency inhaled agent with less respiratory irritation, sevoflurane has been widely used in various surgeries for induction and maintenance of general anesthesia. However, the incidence of pediatric emergence delirium has been significantly increased with sevoflurane general anesthesia which severely disturbs the surgical effect and increases the requirement of medical staff in post anesthesia care unit. This article systematically reviews the research advance in emergence delirium in children with sevoflurane general anesthesia and introduces the reasonable intervention for the improvement of anesthesia quality.