七氟醚全凭吸入麻醉在婴儿唇裂整复术中的应用.pdf

《七氟醚全凭吸入麻醉在婴儿唇裂整复术中的应用.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、学杂志2011年2月第27卷第2期JClinAnesthesiol,February2011,Vo1．27,No．2——．临床研究·七氟醚全凭吸人麻醉在婴儿唇裂整复术中的应用王新河邵云李刚【摘要】目的探讨七氟醚全凭吸人麻醉在婴儿唇裂整复术中应用的可行性和安全性。方法6O例ASAI级唇裂婴儿随机均分为七氟醚全凭吸人麻醉组(S组)和丙泊酚一芬太尼静脉麻醉组(P组)。记录患儿入室后、气管插管时、手术切皮时、手术开始后30rain的HR、MAP；记录拔管时间、改良Aldrete评分达9分所需时问、单位时问维库溴铵用量、苏醒期躁动及术后恶心呕吐情况。结果P组

2、气管插管时HR明显快于入室后及S组(P

3、fantsWANGXin—he，SHAOYun，，J，Gang．DepartmentofAnesthesiology，SchoolandHospitalofStomatology，NanjingUniversityMedicalCenter，Naniing210008，China[Abstract]ObjectiveTocomparethefeasibilityandsafetybetweentotalinhalationanesthesiawithsevoflurane1andpropofol—fentany1intravenousanesthe

4、siaincleftliprepairininfants．MethodsSixtycleftlipinfantswithASAlgradewererandomlydividedintogroupS(sevofluranegroup，一30)andgroupP(propofol—fentanylgroup。”一30)．MAPandHRbeforeanesthesiainduction，duringendotracheaintubationandincision，3Ominafterthebeginningofoperationwererecorded

5、respectively．Theextubationtime，thetimewhenmodifiedAldretescorereachedtO9，thedosageofvecuronium，andtheincidenceofagitationandvomitingwerealsorecorded．ResultsHRingroupSwasmorestablethanthatingroupPduringtrachealintubation．TheextubationtimeandthetimewhenmodifiedAldretescorereache

6、dtO9ingroupSweresignificantlydecreased．(P<0．01)．TheincidenceofagitationingroupSwashigherthanthatingroupP(P％0．01)．Therewasnostatisticalsignificanceintheincidenceofvomitingbetweenthetwogroups．ThedosageofvecuroniumingroupSwaslowerthanthatingroupP(尸<0．01)．ConclusionTotalinhalation

7、alanesthesiawithsevofluraneisasteadyanesthesiamethodforinfantcleftliprepairwithquickrecoverybutahighincidenceofagitation．[KeywordslSevoflurane；Totalinhalationanesthesia；Infants；Cleftlip为尽早恢复上唇的形态和功能，唇裂患儿多在资料与方法婴儿期接受整复手术。患儿年龄小，手术部位位于呼吸道附近，选择合适的麻醉药物和麻醉方法对保一般资料选择先天性上唇裂患儿60例。男证手术顺

8、利进行和患儿安全尤为重要。七氟醚已经32例，女28例；年龄4～10月；体重4．2～9．5kg；广泛用于d,JLl~床麻醉中