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目的:分析比较七氟烷吸入麻醉和氯胺酮静脉麻醉在儿童手术中临床效果。方法:将我院近年来收治的接受手术治疗86例儿童随机分为观察组与参考组,两组术中分别采用七氟烷吸入麻醉、氯胺酮静脉麻醉,对两组患者麻醉前、手术中、手术结束时心率、平均动脉压及血氧饱和度进行比较分析,观察两组患者镇痛效果及术后苏醒时间。结果:两组患者麻醉前心率、平均动脉压及血氧饱和度比较无统计学意义(P>0.05);观察组麻醉中、手术结束前10 min手术结束时上述指标均明显优于参考组(P<0.05);观察组镇痛效果明显优于参考组(P<0.05),患者术后苏醒时间明显短于参考组(P<0.05)。结论:七氟烷吸入麻醉在儿童手术中使用安全性较高,术后可良好镇痛,可推广使用。
OBJECTIVE: To analyze and compare the clinical effects of sevoflurane inhalation anesthesia and ketamine intravenous anesthesia in children undergoing surgery. Methods: Totally 86 children admitted to our hospital for surgical treatment in recent years were randomly divided into observation group and reference group. Sevoflurane inhalation anesthesia and ketamine intravenous anesthesia were used in the two groups. Before anesthesia, At the end of surgery, heart rate, mean arterial pressure and oxygen saturation were compared and analgesic effects and postoperative recovery time were observed. Results: There was no significant difference in heart rate, mean arterial pressure and oxygen saturation before anesthesia between the two groups (P> 0.05). In the anesthesia of the observation group, the above indexes were significantly better than the reference group at the end of the operation 10 minutes before the end of the operation P <0.05). The analgesic effect of the observation group was significantly better than that of the reference group (P <0.05), and the recovery time of the patients was significantly shorter than that of the reference group (P <0.05). CONCLUSIONS: Sevoflurane inhalation anesthesia is safe to use in pediatric surgery and postoperative analgesia is good and can be used widely.