七氟醚在小儿麻醉中的应用

The Application of Sevoflurane in Pediatric Anesthesia

目的:探讨七氟醚在小儿麻醉中的应用效果。方法:本研究选取2012年4月-2013年4月笔者所在医院收治的110例进行短小手术的小儿作为研究对象,将110例患儿随机分为对照组和观察组,每组各55例,对照组患儿采用异丙酚与氯胺酮进行麻醉,观察组患儿采用异丙酚与七氟醚进行麻醉,对比两种麻醉方法的临床效果。结果:对照组患儿术中的MBP及HR较诱导前明显提高(P<0.05),观察组患儿的MBP及HR无明显变化。与对照组相比,观察组患儿的睁眼、定向力恢复、安全离开手术室的时间均明显短(P<0.05)。观察组患儿的不良反应发生率为3.6%,较对照组的16.4%明显低(P<0.05)。结论:七氟醚应用于小儿麻醉中具有良好效果,值得推荐。

Objective：To investigate the clinical efficacy of Sevoflurane in the application of pediatric anesthesia.Method：110 cases of minor surgery in children from April 2012 to April 2013 in our hospital were selected.They were randomly divided into the control group and the observation group,55 cases in each group.The control group were anaesthetized with Propofol and Ketamine.The observation group were anaesthetized with Propofol and Sevoflurane.The clinical efficacy of the two groups were compared.Result：The MBP and HR of the control group during surgery were significantly increased compared with the pre-induction（P0.05）,however the MBP and HR of the observation group had no significantly change.The time of opening eyes,orientation recovery,leave the operating room time safely of the observation group were significantly shorten compared with the control group（P0.05）.The incidence of adverse reactions of the observation group（3.6%） was significantly decreased compared with the control group（16.4%）（P0.05）.Conclusion：Sevoflurane has a good effect on the pediatric anesthesia,it is worth to be recommended.