七氟醚与丙泊酚在小儿气道异物取出手术中的麻醉效果比较

Anesthesia effect comparison of sevoflurane and propofol in the operation of the removal of airway foreign body in children

目的 比较七氟醚与丙泊酚在小儿气道异物取出术中的麻醉效果。方法 选取本院急诊2012年1月-2014年12月的60例气道异物取出术患儿作为研究对象,随机分为七氟醚组（C组）和丙泊酚组（E组）,各30例。C组采用七氟醚复合麻醉,E组采用丙泊酚复合麻醉。比较两组不同时间点的的HR、SpO2、MAP水平,术中呛咳、体动、喉或支气管痉挛等并发症发生率,芬太尼用量,苏醒时间,术后气管插管例数等。结果 C组T1、T2时的HR水平显著低于E组,差异有统计学意义（P〈0.05）。C组T1、T2时的SpO2水平显著高于E组,差异有统计学意义（P〈0.05）。C组术中的体动、呛咳发生率显著低于E组,差异有统计学意义（P〈0.05）。C组的术后插管例数、芬太尼用量显著低于E组,差异有统计学意义（P〈0.05）。C组的苏醒时间显著短于E组,差异有统计学意义（P〈0.05）。结论 七氟醚和丙泊酚均可安全用于小儿气道异物术。在满足手术需求的情况下,七氟醚能更好地稳定血流动力学,减少芬太尼用量,具有更好的可控性。

Objective To compare the anesthesia effect of sevoflurane and propofol in the operation of the removal of airway foreign body in children. Methods 60 children underwent emergency airway foreign body removal surgery in our hospital from January 2012 to December 2014 were selected and randomly divided into the sevoflurane group（group C）and the propofol group（group E）,30 cases in each groups.Group C was given sevoflurane combined anesthesia,group E was given propofol combined anesthesia.The level of HR,Sp O2,MAP of different time,the incidence rate of complication during operation such as cough,body movement,throat or bronchial spasm,fentanyl dosage,operation time,recovery time,postoperative tracheal intubation cases in two groups was compared. Results The level of HR at T1 and T2in group C was lower than that in group E,with significant difference（P〈0.05）.The level of Sp O2 at T1and T2 in group C was higher than that in group E,with significant difference（P〈0.05）.The cases of postoperative tracheal intubation,fentanyl dosage in group C was lower than that in group E,with significant difference（P〈0.05）.The recovery time in group C was shorter than that in group E,with significant difference（P〈0.05）. Conclusion Both sevoflurane and propofol can be safely used in pediatric airway foreign body removal surgery.In meeting the need for surgery,sevoflurane can better stable hemodynamic,reduce the dosage of fentanyl,and has better controllability.