七氟醚和氯胺酮在小儿小手术麻醉中的疗效对比

Comparison of Sevoflurane and Ketamine in Pediatric Anesthesia in Small Operation Curative Effect

目的:对小手术患儿麻醉中采用七氟醚吸入麻醉与氯胺酮静脉麻醉的临床效果进行比较。方法:选取笔者所在医院2011年5月-2013年12月期间收治的64例进行小手术的患儿为研究对象,按照随机数字表法分为参照组和研究组,研究组患儿在手术中采用七氟醚吸入麻醉方式,参照组患儿在手术中采用氯胺酮静脉麻醉方式,对比两组患儿HR(心率)情况及麻醉中的不良反应。结果:研究组患儿发生的不良反应明显低于参照组,两组比较有统计学意义(P<0.05)。同时患儿在诱导5 min和10 min时的HR情况要高于参照组,两组比较差异有统计学意义(P<0.05)。结论:在小儿小型手术麻醉中采用七氟醚吸入麻醉的效果较为理想,也减少了不良反应发生。

Objective：To explore small children anesthesia operation used in the clinical effect of inhalation anesthesia with Sevoflurane anesthesia and Ketamine intravenous comparison. Method：64 cases of operation from 2011 May to 2013 December in our hospital were selected as the research object,randomly divided into control group and study group,patients in study group in the operation of inhalation anesthesia with Sevoflurane,reference groups in the operation with Ketamine intravenous anesthesia,compared two groups of children with HR and bad anesthesia in reaction. Result：The adverse reactions in study group was significantly lower than the reference group occurred,and the difference between the two groups was statistically significant（P＆lt;0.05）. At the same time, the children in the induction of 5 minutes and 10 minutes HR was higher than the reference group,and the difference between the two groups was statistically significant（P＆lt;0.05）. Conclusion：The use of Sevoflurane inhalation anesthesia effect is ideal in pediatric anesthesia in small operation,also can reduce the adverse reaction.