异氟烷和七氟烷对小儿麻醉苏醒前躁动的影响比较

Effects of isoflurane and sevoflurane on restlessness of anesthesia before recovery in children

目的对比异氟烷和七氟烷对小儿麻醉苏醒前躁动的影响。方法抽取医院2015年8月-2016年7月收治的小儿麻醉患儿68例,随机分为异氟烷组和七氟烷组,每组34例。异氟烷组吸入异氟烷麻醉,七氟烷吸入七氟烷麻醉,比较2组患儿诱导期反应情况、麻醉效果及不良反应。结果 2组患儿均手术成功,且睫毛反射消失时间、气管插管时间、麻醉诱导时间、苏醒时间、躁动评分比较差异均无统计学意义(P>0.05)。整个手术过程中七氟烷组患儿发生轻微咳嗽,情绪不稳定有1例,异氟烷组患儿发生低血压1例,2组患儿均未出现过敏、休克、恶心等现象。结论异氟烷与七氟烷对小儿手术麻醉苏醒前躁动情况影响无差异,且不良反应均较少,可应用于小儿手术麻醉。

Objective To compare the effect of isoflurane and sevoflurane on restlessness of anesthesia before recovery in children. Methods 68 cases with children anesthesia were treated in our hospital from August 2015 to July 2016 in the hospital were randomly divided into isoflurane group and sevoflurane group,with 34 cases of each. Isoflurane group inhaling isoflurane anesthesia,and sevoflurane inhalation sevoflurane anesthesia group. The induction reaction,anesthetic effect and adverse reaction were compared between the two groups. Results Children of two groups were both successfully operated,and the differences of the eyelash reflex disappeared time,tracheal intubation time,anesthesia induction time,recovery time,agitation score between the two groups were not statistically significant（ P〉0. 05）. Conclusion There was no difference between sevoflurane on restlessness of anesthesia before recovery in pediatric surgery,and the side effects are less,and can be used in pediatric surgery anesthesia.