丙泊酚复合七氟烷对减少小儿麻醉苏醒期躁动的效果分析

Analysis on the Effect of Propofol Combined with Sevoflurane for Reducing the Restlessness during Anesthesia Recovery Period in Children

目的分析丙泊酚复合七氟烷对减少小儿麻醉苏醒期躁动的效果。方法选取2015年1月至2017年12月于我院行手术治疗的80例患儿,随机分为研究组与对照组各40例。研究组采用丙泊酚复合七氟烷麻醉,对照组仅采用七氟烷麻醉,对比两组患儿的麻醉效果。结果研究组的收缩压、舒张压、血氧饱和度、心率及呼吸频率均优于对照组(P <0.05)。与对照组比较,研究组的清醒时间较长,躁动时间较短, PAED评分较低(P均<0.05)。两组的不良反应发生率比较差异无统计学意义(P>0.05)。结论丙泊酚复合七氟烷可缓解小儿麻醉苏醒期躁动,且能保证患儿生命体征平稳,减少不良反应,效果显著,值得临床推广应用。

Objective To analyze the effect of propofol combined with sevoflurane for reducing the restlessness during anesthesia recovery period in children.Methods 80 cases of children with surgery in our hospital from January 2015 to December 2017 were selected and randomly divided into study group and control group,with 40 cases in each group.The study group received propofol combined with sevoflurane for anesthesia,while the control group only received sevoflurane for anesthesia.The anesthesia effect was compared between the two groups.Results The systolic blood pressure,diastolic blood pressure,blood oxygen saturation,heart rate and respiratory rate of the study group were better than those of the control group(P<0.05).Compared with the control group,the waking time of the study group was longer,the restlessness time was shorter,and the PAED score was lower(all P<0.05).No statistical difference was found in the incidence of adverse reactions between the two groups(P>0.05).Conclusions Propofol combined with sevoflurane can relieve the restlessness during anesthesia recovery period in children,ensure the stability of vital signs and reduce the adverse reactions with significant effect,which is worthy of clinical promotion and application.