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目的:观察不同药物组合对小儿全麻术后恢复期的影响。方法:选择小儿鼻咽部手术40例,随机分为观察组与对照组各20例。对照组采用氯胺酮诱导,肌松药为罗库溴铵;观察组吸入七氟烷诱导,肌松药为米库氯胺;两组术中均持续吸入七氟烷,丙泊酚泵入维持麻醉。记录两组术后拔管时间、苏醒时间,观察有无躁动、喉痉挛等并发症发生。结果:观察组拔管时间、苏醒时间均显著短于对照组(P<0.05);观察组麻醉恢复期不良事件发生率显著低于对照组(P<0.05)。结论:应用七氟烷诱导加短效肌松药,能够显著缩短患儿术后苏醒时间,且恢复期并发症少。
Objective: To observe the effect of different drug combinations on convalescent period of pediatric general anesthesia. Methods: Forty children with nasopharyngeal surgery were selected and randomly divided into observation group and control group with 20 cases each. The control group was induced by ketamine, and the muscle relaxant was rocuronium. The observation group was induced by inhalation of sevoflurane and the muscle relaxant was mikuluchlor. Both groups were continuously inhaled sevoflurane and propofol to maintain anesthesia . Record two groups of extubation time, recovery time, to observe whether the restlessness, laryngospasm and other complications. Results: The extubation time and recovery time in the observation group were significantly shorter than those in the control group (P <0.05). The incidence of adverse events in the observation group was significantly lower than that in the control group (P <0.05). Conclusion: Sevoflurane-induced short-acting muscle relaxants can significantly shorten the recovery time of children with postoperative recovery and less complications.