七氟烷吸入麻醉与氯胺酮麻醉在小儿短小手术中的疗效观察

Sevoflurane Inhalation Anesthesia with Ketamine Anesthesia in Pediatric Short and Comparative Study on the Clinical Effect of Surgery

目的探讨七氟烷吸入麻醉与氯胺酮麻醉在小儿短小手术中的疗效。方法随机选取2013年1月至3月我院收治的短小手术患儿64例,将其均分为氯胺酮组和七氟烷组,观察两组患儿手术前、术中、术后的自动化无创性测压(NIBP)、血氧饱和度(Sp O2)、心率(HR),对两组患儿的恶心、呼吸困难、情绪烦躁情况进行记录。结果对两组患儿术前、术中、术后的NIBP、Sp O2、HR进行比较,七氟烷组患儿的效果明显优于氯胺酮组;且七氟烷组患儿的恶心、呼吸困难、情绪烦躁等不良反应明显小于氯胺酮组,差异有统计学意义(P<0.05)。结论在进行小儿短小手术过程中采用七氟烷吸入麻醉效果十分明显,可加快患儿的恢复,且不良反应较小。

Objective To investigate the seven halothane inhalation anesthesia with ketamine anesthesia in paediatric clinical effect in operation.Methods 64 cases were randomly selected from the group consisting of short operation from January to March 2013 in our hospital,be divided into ketamine group and seven halothane group, observe two groups of patients with automation,intraoperative and postoperative non-invasive pressure（NIBP）, oxygen saturation（Sp O2）,heart rate（HR）were recorded in two.The group of children with nausea,difficulty in breathing, emotional irritability situation.Results Comparison of two groups of children before operation,during operation, postoperative NIBP,Sp O2,HR,effect is better than ketamine group seven halothane groups;nausea,difficulty in breathing,emotional irritability and other adverse reactions and seven halothane group were significantly less than the ketamine group,the difference was statistically significant（P〈0.05）.Conclusion In the process of operation in children with short by seven isofluraneinhalation anesthesia effect is very obvious,it can accelerate the recoveryof children,and less adverse reactions.