【摘要】 目的:探讨七氟醚复合瑞芬太尼在小儿口腔手术麻醉中的应用。方法:选择行口腔手术的患儿60例,随机分为两组,即七氟醚吸入组与异氟醚吸入组,每组各30例。分别使用七氟醚或异氟醚吸入诱导复合瑞芬太尼麻醉行唇裂、腭裂手术。记录诱导时间、拔管时间,观察有无恶心、呕吐,躁动,喉痉挛,支气管痉挛等并发症的发生。结果:七氟醚组诱导时间略长于异氟醚组静脉诱导时间;拔管时间均显著短于异氟醚组(P<0.05)。恶心、呕吐发生率差异无统计学意义(P>0.05)。结论:七氟醚吸入麻醉平稳迅速,缩短苏醒拔管时间,适用于小儿口腔手术手术。更多还原

【Abstract】 Objective:To analyze the application of sevoflurane-remifentanyl combined anesthesia in oral operation of pediatric patients.Methods:60 pediatric patients were randomly divided into sevoflurane group(n=30) and isoflurane group(n=30).The induction and extubation times were recorded.Nausea,vomiting,restlessness,laryngospasm,bronchiospasm were observed.Results:The induction time of sevoflurane group was longer than that of isoflurane group,but the extubation time of sevoflurane group was significantly shorter than that of isoflurane group(P<0.05).The difference of the incidence rate of nausea and vomiting was no statistically significant between two groups(P>0.05).Conclusion:Sevoflurane inhalation anesthesia was stable and quick and could shorten the analepsia and extubation timesand apply to oral operation of pediatric patients.更多还原