丙泊酚联合七氟烷复合麻醉对小儿麻醉苏醒期躁动评分的影响

Efficacy Analysis of Propofol Sevoflurane Anesthesia in Children Waking Period Restlessness

目的:探讨丙泊酚联合七氟烷对小儿麻醉苏醒期躁动的临床效果。方法:选择2013年8月-2015年8月在我院接受手术治疗的患儿53例,根据麻醉方法不同,将研究对象分为丙泊酚组(17例)、七氟烷组(19组)和联合组(17例),分别给予丙泊酚,七氟烷以及丙泊酚联合七氟烷进行麻醉并维持。观察并比较各组患儿的手术时间、麻醉时间、清醒时间、躁动发生率以及苏醒期躁动评分。结果:三组患儿的手术时间和麻醉苏醒时间比较,差异均无统计学意义(P>0.05);联合组患儿躁动发生率及躁动评分均低于七氟烷组和丙泊酚组,差异具有统计学意义(P<0.05);三组患儿恶心、呕吐等不良反应的发生率比较,差异无统计学意义(P>0.05)。结论:丙泊酚联合七氟烷可显著改善小儿麻醉苏醒期躁动情况,临床效果显著。

Objective： To investigate the clinical effect of propofol combined with sevoflurane in the recovery of anesthesia of children. Methods： 53 patients who had taken the surgical treatment in our hospital from August 2013 to August 2015 were selected and divided into the propofol group （17 cases）, the sevoflurane group （19 cases） and the combined group （17 cases）. Then the operation time, anesthesia time, awake time, the incidence of restlessness, and the recovery of the patients were observed and compared in the three groups. Results： There was no statistically significant difference about the operation time and recovery in the three groups （P〉0.05）; The incidence of agitation in the combined group was lower than that of the sevoflurane group and the propofol group, and the difference was statistically significant （P〈0.05）; There was no statistically significant difference about the incidence of adverse reactions in the three groups （P〉0.05）. Conclusion： Propofol combined with sevoflurane can significantly improve the recovery of anesthesia in children with significant clinical effects.