摘要
目的比较喉罩一七氟醚与静脉氯胺酮麻醉在先天性心脏病患儿介入手术中的麻醉效果。方法50例ASAⅠ或Ⅱ级,3~7岁择期行先天性心脏病介入手术患儿,随机均分为喉罩一七氟醚麻醉组(A组)与氯胺酮全麻组(B组)。记录麻醉前(T0)、切皮前(T1)、切皮后1min(T2)、30min(T3)、术毕(T4)MAP与HR;观察镇静、镇痛效果及苏醒时间。结果两组术中镇静、镇痛效果均佳,差异无统计学意义;与A组相比,T1~T4时B组MAP升高,HR增快(P〈0.05),苏醒时间延长(P〈0.05),SpO2〈96%的发生率升高(P〈0.05)。结论喉罩一七氟醚麻醉在先天性心脏病患儿介入手术中优于氯胺酮静脉麻醉。
Objective To compare the anesthetic effect of sevoflurane anesthesia under laryngeal mask airway(LMA) with ketamine for pediatric patients with congenital heart diseases. Methods A total of 50 children with congenital heart diseases, aged 3 7 years old with ASA physiological status Ⅰ or Ⅱ , undergoing elective interventional therapy were randomly divided into one of two groups with 25 each: LMA-sevoflurane (group A) and ketamine groups(group B). The values of MAP and HR were recorded at the following time points., before anesthesia (T1), incision immediate (T2), 1 min (T3) and 30 rain after incision, and completion of operation (T4). Analgesia and sedation were assessed and the awaking time was recorded. Results The effect of analgesia and sedation in both groups were enough to operation, but without statistical significance. Compared with sevoflurane, ketamine had higher MAP and fast HR (P〈0.05), longer time for awaking (P〈 0.05), and higher incidence of lower SpO2〈96% (P〈0.05). Conclusion Sevoflurane anesthesia under LMA is superior to ketamine in pediatric patients with congenital heart diseases undergoing interventional therapy.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2011年第7期687-689,共3页
Journal of Clinical Anesthesiology
关键词
氯胺酮
喉罩
七氟醚
患儿
先天性心脏病
Ketamine
Laryngeal mask airway
Sevoflurane
Pediatric patient
Congenital heart disease