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七氟烷与异氟烷对治疗小儿麻醉苏醒期躁动的比较

Comparison of pediatric anesthesia emergence agitation and delirium between sevoflurane and isoflurane inhalation anesthesia

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【作者】 蒋明

【Author】 JIANG Ming,Department of Anesthesiology, Guangrao people’s Hospital Guangrao 257300, China

【机构】 山东省广饶县人民医院麻醉科

【摘要】 目的观察并比较七氟烷与异氟烷对于治疗小儿麻醉苏醒期躁动的情况。方法 62例手术患儿随机分成两组,分别为七氟烷组和异氟烷组。观察并记录从吸入麻醉药至睫毛反射消失时间、气管内插管时间,并评定插管条件,将术后患儿的拔管时间、清醒时间及哭闹、躁动等情况做统计学对比。结果气管插管条件为优49例,良12例,差1例。两组在拔管时间、苏醒时间及哭闹、躁动等情况上差异无统计学意义(P>0.05)。结论小儿七氟烷麻醉苏醒期烦躁的发生率与异氟烷无明显差别,且七氟烷诱导平稳,血流动力学稳定,不良反应较少,是一种理想的小儿吸入麻醉药。

【Abstract】 Objective To investigate and compared with the pediatric anesthesia emergence agitation and delirium between sevoflurane and isoflurane inhalation anesthesia. Methods Sixty-two children,who would receive hypogastric surgery, were randomly divided into 2 groups: sevoflurane group and isoflurane group.The time of abolition of lash reflex and the time of tracheal intubating were observed and recorded to evaluate the condition of tracheal intubation.After the extubation time, comparied the children awake time and crying, agitation and so on. Results The condition of tracheal intubating was mostly good.There was no statistically significant difference in the incidence of ED between sevoflurane and isoflurane anesthesia(P>0.05). Conclusion There is no statistically significant difference in the incidence of EA and ED between sevoflurane or isoflurane anesthesia.Sevof lurane is steady for induction, fast for analepsia, stable inhaemo dynamics, few in adverse reaction, an ideal inhalation anesthesia for children.

【关键词】 七氟烷异氟烷小儿吸入麻醉比较
【Key words】 SevofluraneIsofluraneChildrenInhalation anesthesiaComparison
  • 【文献出处】 中国实用医药 ,China Practical Medicine , 编辑部邮箱 ,2013年26期
  • 【分类号】R726.1
  • 【被引频次】6
  • 【下载频次】46
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