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目的比较七氟醚吸入麻醉与丙泊酚静脉麻醉在小儿腹腔镜手术的临床应用价值。方法选取我院收治的行腹腔镜手术的94例患儿为研究对象,按照随机数字表法均分2组,分为丙泊酚组与七氟醚组,每组47例。比较2组麻醉方法的麻醉效果。结果两组在T_(1~5)时,脑电双频指数(BIS)和平均动脉压(MAP)等指标情况明显低于T_0时,其中以丙泊酚组的下降程度尤为显著,差异有统计学意义(P<0.05);在T_(1~5)时,七氟醚组的呼吸频率(RR)指标情况显著高于丙泊酚组,差异有统计学意义(P<0.05);两组患儿的苏醒时间、手术时间及术后喉管拔出时间情况比较,差异有统计学意义(P<0.05)。结论在小儿腹腔镜手术时,采用七氟醚吸入麻醉,其麻醉深度比丙泊酚静脉麻醉更为合理。
Objective To compare the clinical value of inhalation sevoflurane and propofol intravenous anesthesia in pediatric laparoscopic surgery. Methods Ninety-four cases undergoing laparoscopic surgery in our hospital were divided into two groups according to the random number table. They were divided into propofol group and sevoflurane group, 47 cases in each group. Compare the anesthetic effects of the two anesthesia methods. Results The indexes of BIS and MAP in T_ (1-5) group were significantly lower than those in T_0 group at the T_ (1 ~ 5), especially in propofol group, the differences were (P <0.05). The respiratory rate (RR) of sevoflurane group was significantly higher than that of propofol group at T_ (1 ~ 5), the difference was statistically significant (P <0.05) The recovery time, operation time and postoperative throat extraction time were significantly different between the two groups (P <0.05). Conclusions In pediatric laparoscopic surgery, inhalation of sevoflurane anesthesia, the depth of anesthesia than propofol intravenous anesthesia more reasonable.