七氟醚与丙泊酚在小儿气道异物取出手术中麻醉效果比较

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1、窑麻醉与疼痛窑中国当代医药2015年8月第22卷第23期七氟醚与丙泊酚在小儿气道异物取出手术中的麻醉效果比较汪鑫刘树春刘冲张笃文贵州省人民医院麻醉科袁贵阳550002[摘要]目的比较七氟醚与丙泊酚在小儿气道异物取出术中的麻醉效果遥方法选取本院急诊2012年1月耀2014年12月的60例气道异物取出术患儿作为研究对象袁随机分为七氟醚组渊C组冤和丙泊酚组渊E组冤袁各30例遥C组采用七氟醚复合麻醉袁E组采用丙泊酚复合麻醉遥比较两组不同时间点的的HR尧SpO2尧MAP水平袁术中呛咳尧体动尧喉或支气管痉挛等并发症

2、发生率袁芬太尼用量袁苏醒时间袁术后气管插管例数等遥结果C组T1尧T2时的HR水平显著低于E组袁差异有统计学意义渊P约0.05冤遥C组T1尧T2时的SpO2水平显著高于E组袁差异有统计学意义渊P约0.05冤遥C组术中的体动尧呛咳发生率显著低于E组袁差异有统计学意义渊P约0.05冤遥C组的术后插管例数尧芬太尼用量显著低于E组袁差异有统计学意义渊P约0.05冤遥C组的苏醒时间显著短于E组袁差异有统计学意义渊P约0.05冤遥结论七氟醚和丙泊酚均可安全用于小儿气道异物术遥在满足手术需求的情况下袁七氟醚能更好地稳定

3、血流动力学袁减少芬太尼用量袁具有更好的可控性遥[关键词]七氟醚曰丙泊酚曰小儿曰气道异物曰全身麻醉[中图分类号]R729[文献标识码]A[文章编号]1674-4721渊2015冤08渊b冤-0104-03AnesthesiaeffectcomparisonofsevofluraneandpropofolintheoperationoftheremovalofairwayforeignbodyinchildrenWANGXinLIUShu-chunLIUChongZHANGDu-wenDepartmento

4、fAnesthesiology,People忆sHospitalofGuizhouProvince,Guiyang550002.China[Abstract]ObjectiveTocomparetheanesthesiaeffectofsevofluraneandpropofolintheoperationoftheremovalofairwayforeignbodyinchildren.Methods60childrenunderwentemergencyairwayforeignbodyremova

5、lsurgeryinourhospitalfromJanuary2012toDecember2014wereselectedandrandomlydividedintothesevofluranegroup(groupC)andthepropofolgroup(groupE),30casesineachgroups.GroupCwasgivensevofluranecombinedanesthesia,groupEwasgivenpropofolcombinedanesthesia.Thelevelof

6、HR,SpO2,MAPofdifferenttime,theincidencerateofcomplicationduringoperationsuchascough,bodymovement,throatorbronchialspasm,fentanyldosage,operationtime,recoverytime,postoperativetrachealintubationcasesintwogroupswascompared.ResultsThelevelofHRatT1andT2ingro

7、upCwaslowerthanthatingroupE,withsignificantdifference(P约0.05).ThelevelofSpO2atT1andT2ingroupCwashigherthanthatingroupE,withsignificantdifference(P约0.05).Thecasesofpostoperativetrachealintubation,fentanyldosageingroupCwaslowerthanthatingroupE,withsignific

8、antdifference(P约0.05).TherecoverytimeingroupCwasshorterthanthatingroupE,withsignificantdifference(P约0.05).ConclusionBothsevofluraneandpropofolcanbesafelyusedinpediatricairwayforeignbodyremovalsurgery.Inmeetingtheneedforsur