七氟醚用于小儿扁桃体切除术全麻诱导的临床研究

Clinical Research on Sevoflurane in the General Anesthesia Induction of Amygdalectomy in Children

目的探讨七氟醚在小儿扁桃体切除术全麻诱导中的临床应用效果。方法方便选取该院2015年3月—2016年3月实行扁桃体切除术的86例患儿为研究对象,根据麻醉方法的不同,将其分为对照组和观察组,每组各43例。对照组患儿予以常规方法麻醉诱导,观察组给予七氟醚全麻诱导。观察拔管时间、呼吸恢复时间、意识恢复时间以及插管5 min、手术开始5 min后患儿收缩压、心率以及舒张压指标。结果观察组患儿的拔管时间(7.2±2.3)min、呼吸恢复时间(3.8±0.8)min、意识恢复时间(5.4±2.4)min,明显短于对照组患儿(P<0.05)。观察组患儿插管5 min、手术开始5 min、拔管后5 min的收缩压、心率及舒张压等指标,明显优于对照组患儿,两组比较差异有统计学意义(P<0.05)。结论在小儿扁桃体切除术中,应用七氟醚全麻诱导的安全性高,临床效果较好。

Objective To discuss the clinical application effect of sevoflurane in the general anesthesia induction of amygdalectomy in children. Methods Convenient selection 86 cases of children with amygdalectomy admitted and treated in our hospital from March 2015 to March 2016 were selected as the research objects and divided into two groups with 43 cases in each according to different anesthesia methods, the control group adopted the routine method for anesthesia induction, while the observation group adopted the sevoflurane for general anesthesia induction, and the tube drawing time, respiration recovery time, awareness rehabilitation time and systolic pressure, heart rate and diastolic pressure of children at 5 min of tube drawing, at 5 min after operation were observed. Results The tube drawing time, respiration recovery time and awareness recovery time in the observation group were respectively（7.2±2.3）min,（3.8±0.8）min and（5.4±2.4）min, which were obviously shorter than those in the control group（P〈0.05）, and the systolic pressure, heart rate and diastolic pressure at 5 min of tube drawing, at 5 min after operation and at 5 min after tube drawing were obviously better than those in the control group,and the differences between groups had statistical significance（P〈0.05）. Conclusion The safety of sevoflurane in the general anesthesia induction of amygdalectomy in children is high, and the clinical effect is better.