探讨七氟醚吸入麻醉和氯胺酮静脉麻醉用于小儿手术麻醉效果

Study of Sevoflurane Inhalation Anesthesia and Ketamine Intravenous Anesthesia for Pediatric Anesthesia Operation

目的研究分析七氟醚吸入麻醉和氯胺酮静脉麻醉在小儿手术中的使用情况。方法根据2010年6月~2011年8月我院接收的125例小儿手术患者进行研究分析,将这些患者分成对照组和观察组,对照组有63例患者,使用氯胺酮静脉注射麻醉,观察组有62例患者使用七氟醚吸入麻醉。对两组的麻醉效果进行比较。结果对照组患儿的临床不良反应发生率和HR水平比观察组高,患儿睫毛反射消失和疼痛反射消失时间比观察组少,观察组的出室时间比对照组少,观察组RR和PETCO2水平比对照组高。结论七氟醚吸入麻醉在小儿麻醉治疗中,儿童患者易接受,患儿使用后不良反应少,苏醒快,并发症少,可调节性强,所以,整体的麻醉效果比氯胺酮静脉注射要优秀,我们推介在小儿手术治疗过程中使用该种麻醉方式。

Objective To study the sevoflurane inhalation anesthesia and ketamine intravenous anesthesia used in pediatric operation. Methods From June 2010 to August 2011 in our hospital,received 125 cases of pediatric surgery patients to research and analyze. These patients were divided into control group and observation group,control group of 63 patients used ketamine intravenous anesthesia,and observation group of 62 patients with sevoflurane inhalation anesthesia. The anesthesia effect of the two groups were compared. Results In the control group,the clinical adverse reaction rate and HR level were higher than those in the observation group. The disappearance of eyelash reflex and the disappearance time of pain was observed,the observation group was less than that in the control group, and the RR and PETCO2 level in the observation group were higher than those in the control group. Conclusion Sevoflurane inhalation anesthesia in pediatric anesthesia in the treatment effect is good. Children is easy to accept this kind of anesthesia,with less adverse reaction,rapid recovery,fewer complications, adjustment. So overall anesthetic effect than ketamine intravenous injection shot is better. We recommend the types of anesthesia in pediatric surgery treatment.