用丙泊酚和七氟烷对进行手术的患儿实施麻醉的效果研究

Effect of application of propofol and sevoflurane for anesthesia to the child patients in operation process

目的:探讨用丙泊酚和七氟烷对进行手术的患儿实施麻醉的临床效果。方法:将2016年10月至2017年10月期间在广汉市人民医院进行手术治疗的100例患儿作为研究对象。将这100例患儿随机平均分为对照组和观察组。对两组患儿均进行手术治疗。为两组患儿均使用七氟烷进行麻醉。在此基础上,为观察组患儿加用丙泊酚进行麻醉。然后,比较两组患儿拔管的时间、麻醉后苏醒的时间、术后疼痛的发生率、麻醉苏醒期躁动的发生率、Watcha(躁动)评分和PAED(麻醉苏醒期躁动量表)评分。结果:与对照组患儿相比,观察组患儿拔管的时间、麻醉后苏醒的时间均更短,其术后疼痛的发生率、麻醉苏醒期躁动的发生率、Watcha评分和PAED评分均更低(P<0.05)。结论:用丙泊酚和七氟烷对进行手术的患儿实施麻醉的效果显著,能够降低其麻醉后不良反应的发生率。

Objective： To explore the clinical effects of propofol and sevoflurane on anesthesia in children undergoing surgery. Methods： 100 cases of children who underwent surgical treatment in people＇s hospital of guanghan city from October 2016 to October 2017 were studied. The 100 cases were randomly divided into control group and observation group. Surgical treatment was performed in both groups. Sevoflurane was used for anesthesia in both groups. On this basis, propofol was added in the observation group for anesthesia. Then, the time of tube pulling, the time of anaesthesia awakening, the incidence of postoperative pain, the incidence of anaesthesia restlessness, Watcha score and PAED score were compared between the two groups. Results： compared with the control group, children in the observation group had shorter time of tube pulling and anesthesia awakening, and had lower incidence of postoperative pain, incidence of anesthesia awakening, Watcha score and PAED score（P〈0.05）. Conclusion： propofol and sevoflurane can significantly reduce the incidence of adverse reactions.