口腔科儿童恐惧症患儿应用七氟醚吸入麻醉临床效果分析.pdf

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1、《中国医学创新》第11卷第16期(总第298期)2014~6临床研究Linchuangyanjiu口腔科儿童恐惧症患儿应用七氟醚吸人麻醉临床效果分析艾喜婷①韩威利①【摘要】目的：评价七氟醚吸人麻醉应用于口腔科儿童恐惧症患儿临床治疗效果。方法：64例被诊断为牙科恐惧症的患儿按年龄分为学龄前组(n=34)和学龄组(n=30)，两组患儿在七氟醚吸入麻醉下开展滞留乳牙拔除、根管治疗和龋齿填充治疗。记录两组患儿吸人麻醉诱导和苏醒情况；比较两组患儿麻醉过程中平均动脉压和血氧饱和度变化情况；记录两组患儿麻醉过程中不良反应发生情况。结果：所有患儿均在七氟醚吸入麻醉下顺利完成

2、口腔疾病治疗。两组吸人麻醉诱导时意识消失时间、疼痛反应消失时间和睫毛反射消失时间比较差异均无统计学意义(P>O．05)；两组苏醒时意识恢复时间比较差异无统计学意义(P>O．05)；两组吸入前、吸人后和治疗中血氧饱和度和平均动脉压差异比较差异均无统计学意义(P>O．05)；两组恶心呕吐和躁动伴恶心呕吐发生率比较差异无统计学意义(P>O．05)，学龄前组躁动发生率高于学龄组(P

3、nalysisontheApplicationEfectsofSevofluraneInhalationAnesthesiainChildrenPhobiainDentistry／AIXi—ting。HANWei—liJ／MedicaIInnovationofChina，2014。11(16)：025-027【Abstract】Objective：Toinvestigatetheapplicationefectsofsevofluraneinhalationanesthesiainchildrenphobiaindentistry．Method：64pati

4、entsdiagnosedasdentalphobiaweredividedintopreschoolgroupandschool—agegroup．Strandeddeciduousunplug，rootcanaltherapyanddentalcariesfillingwerecarriedundersevofluraneanesthesiainthetwogroups．Inhalationanesthesiainductionandemergencesituationwererecordedinthetwogroups．Themeanaaefialpr

5、essureandoxygensaturationchangesduringanesthesiawerecomparedbetweenthetwogroups．Adverseeventsduringanesthesiawererecorded．Result：Allpatientsweresuccessfullycompletetreatmentoforaldiseasesundersevofluraneanesthesia．Wheninhalationanesthesiainduction，thedifferencesoflOSSofconsciousnes

6、stime，thepaindisappearedreactiontimeandeyelashreflextimebetweenthetwogroupswerenotstatisticallysignificant(P>O．05)．Whenwaking，theconsciousnessrecoverytimesbetweenthetwogroupswerenotstatisticallysignificant(P>0．05)．Beforeinhalation，afterinhalationandduringtherapy，thedifferencesofoxy

7、gensaturationandmeanarterialpressurebetweenthetwogroupswerenotstatisticallysignificant(P>0．05)．Theincidencesofnauseaandvomitingandrestlessnessassociatedwithnauseaandvomitingwerenosignificantdifference(P>0．05)．Theincidenceofrestlessinthepreschoolgroupwashigherthantheschool-agegroup(

8、P<0．05)．Conclusion：Sevoflu