小儿手术应用七氟烷与丙泊酚诱导麻醉的意义分析

Analysis of the Significance of the Application of Sevoflurane and Propofol to Induce Anesthesia in Children

目的对比分析在小儿手术过程中实施七氟烷麻醉和和丙泊酚诱导麻醉的效果。方法分析选取2017年3月—2020年3月在该院接受手术治疗的患儿,共50例,按照奇偶法将样本均分为比较1组(n=25)和比较2组(n=25),比较2组实施丙泊酚诱导麻醉,比较1组实施七氟烷麻醉,比较两组患儿的麻醉效果、血流动力学指标、苏醒期躁动情况以及不良反应发生率。结果比较1组患儿的麻醉时间、手术时间、苏醒时间以及药物用量均少于比较2组,差异有统计学意义(P<0.05);两组患儿在接受麻醉后其血流动力学指标(收缩压、舒张压、心率以及麻醉深度)与麻醉前相比,差异有统计学意义(P<0.05),但麻醉后各时间段之间的指标数据相近,差异无统计学意义(P>0.05);两组患儿的术后躁动率和镇静躁动评分数据相近,差异无统计学意义(P>0.05),比较1组患儿出现不良反应的概率(8.00%)明显低于比较2组(44.00%),差异有统计学意义(χ^(2)=8.420,P=0.004)。结论比较接受手术治疗的患儿实施七氟烷麻醉和和丙泊酚诱导麻醉的效果,七氟烷麻醉的效果更加显著,而且产生的不良反应少,患儿苏醒情况较好。

Objective To compare analysis the effects of sevoflurane anesthesia and propofol-induced anesthesia during pediatric surgery.Methods Convenient select 50 children who underwent surgery in the hospital from March 2017 to March 2020.The samples were divided into comparison group 1(n=25)and comparison group 2(n=25)according to the parity method,compare the two groups underwent propofol-induced anesthesia,compare the first group underwent sevoflurane anesthesia,compared the anesthesia effect,hemodynamic indicators,agitation during the recovery period and the incidence of adverse reactions in the two groups.Results The anesthesia time,operation time,wake-up time and drug consumption of the comparison group 1 were less than those of the comparison group 2,and the difference was statistically significant(P<0.05);the hemodynamic indexes(systolic blood pressure,diastolic blood pressure,diastolic blood pressure)of the two groups of children after receiving anesthesia pressure,heart rate and depth of anesthesia)were significantly different from those before anesthesia(P<0.05),but the index data between each time period after anesthesia was similar,and the difference was not statistically significant(P>0.05);the two groups of children of the postoperative restlessness rate was similar to the sedative restlessness score data,and the difference was not statistically significant(P>0.05).The probability of adverse reactions in the comparison group 1(8.00%)was significantly lower than that of the comparison group 2(44.00%),and the difference was statistically significant(χ^(2)=8.420,P=0.004).Conclusion Comparing the effects of sevoflurane anesthesia and propofol-induced anesthesia in children undergoing surgical treatment,the effect of sevoflurane anesthesia is more significant,and there are fewer adverse reactions,and the children's recovery is better.