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选择手术时间≥2h的小儿手术58例,按输糖量、麻醉方法和年龄分为5组。甲组输5%糖,乙组不输糖,其他组输2.5%糖。丙组<6岁,丁组≥6岁,其他随机分组。戊组用硫喷妥钠基础+神经阻滞,其他组分离麻醉。术中均按7ml/kg·h匀速滴入。麻醉开始1h、2h各测血糖1次。结果:(1)各组血糖均升高,甲组最显著。(2)各组第1h血糖升高明显,第2h不再继续升高。(3)分离麻醉组血糖升高比硫喷妥钠基础组显著。(4)小儿术中的血糖和输糖量、麻醉剂有关,与年龄、性别、手术种类无关。
Fifty-eight children undergoing operation for 2 hours or more were divided into 5 groups according to the amount of sugar, anesthesia and age. A group lost 5% sugar, B group did not lose sugar, the other group lose 2.5% sugar. Group C <6 years old, Group D> 6 years old, others were randomized. Penta group with thiopental sodium base + nerve block, the other components from anesthesia. Surgery according to 7ml / kg · h uniform infusion. Anesthesia began 1h, 2h each measured blood sugar 1 times. Results: (1) The blood sugar in each group was increased, the most significant in group A. (2) Each group 1h blood glucose increased significantly, 2h no longer continue to rise. (3) The blood glucose of the anesthesia group was significantly higher than that of the thiopental group. (4) pediatric surgery blood sugar and sugar, anesthetics related to age, gender, type of surgery has nothing to do.