以七氟烷或氯胺酮为主导患儿麻醉后苏醒质量的比较

Comparison of the resuscitation quality after anesthesia in children patients with sevoflurane or ketamine as the main agents

目的观察以七氟烷或氯胺酮为主导患儿麻醉后苏醒质量。方法随机选取2015年5月~2017年5月我院收治的围术期患儿80例,依据麻醉方法将患儿分为以七氟烷为主导组(七氟烷组,n=40)和以氯胺酮为主导组(氯胺酮组,n=40)两组,对两组患儿的睁眼或体动时间、完全清醒时间、出手术室时间、躁动评分、并发症发生情况进行统计分析。结果七氟烷组患儿的睁眼或体动时间、完全清醒时间、出手术室时间均显著短于氯胺酮组(P<0.05),躁动评分显著低于氯胺酮组(P<0.05)。七氟烷组患儿中呕吐9例,并发症发生率为22.5%(9/40);氯胺酮组患儿中呕吐10例,暂时性失明6例,精神症状或噩梦1例,并发症发生率为42.5%(17/40)。七氟烷组患儿的并发症发生率显著低于氯胺酮组(P<0.05)。结论以七氟烷为主导用于患儿麻醉后的苏醒质量较以氯胺酮为主导高。

Objective To compare the quality of resuscitation after anesthesia in the children patients with sevoflurane or ketamine as the main agents. Methods 80 cases of perioperative children patients who were admitted to our hospital from May 2015 to May 2017 were randomly selected. According to the method of anesthesia, these children patients were divided into two groups： the group of sevoflurane with the main agent （sevoflurane group, n=40） and the group of ketamine as the main agent（ketamine group, n=40）. The statistical analysis was performed on the the time of eyes opening or body movement time, complete sober time, the time of leaving the operation room, agitation score, and complications in the two groups of children. Results The time of eyes opening or body movement time, complete sober time, and time of leaving operation room were significantly shorter in the sevoflurane group than in the ketamine group（P〈0.05）. The agitation score was significantly lower than that in the ketamine group（P〈0.05）. There were 9 cases of vomiting in the children patients in the sevoflurane group, and the incidence rate of complications was 22.5%（9/40）; there were 10 children patients with vomiting, 6 with temporary blindness and 1 with psychiatric symptoms or nightmare in the ketamine group. The incidence rate of complications was 42.5% （17/40）. The incidence rate of complications in the sevoflurane group was significantly lower than that in the ketamine group（P〈0.05）. Conclusion The quality of resuscitation for anesthesia in children patients with sevoflurane as the main agent is higher than that of ketamine.