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目的分析与研究给予接受支气管异物取出术治疗的小儿患者在手术前应用吸入七氟烷麻醉的临床疗效。方法选取2015年11月至2016年11月入本院接受支气管异物取出术的小儿患者60例,根据麻醉方法的不同均等分为实验组和对照组。其中为实验组患者在术中采取吸入七氟烷麻醉进行麻醉,而对照组的患者则在术中采取丙泊酚进行麻醉。比较2组患者麻醉后的麻醉效果。结果 2组患者经不同麻醉方法麻醉后,对照组患儿发生术中呛咳、挑喉困难、术后舌后坠、术后呕吐等异常发生率(40.00%)显著高于实验组(3.33%);对照组患儿的麻醉时间(3.98±0.54)min以及苏醒时间(39.66±8.73)min,显著高于实验组患儿的麻醉时间(1.23±0.24)min以及苏醒时间(11.76±5.24)min,差异均有统计学意义(P<0.05)。结论对于小儿需行支气管异物取出术治疗的患者来说应用吸入七氟烷进行麻醉后的安全性相对其他麻醉方法好,对患者术中能够较有效的控制,对患者手术后认知等功能影响比较小。
Objective To analyze and study the clinical efficacy of inhaled sevoflurane anesthesia in pediatric patients receiving bronchial foreign body extraction before surgery. Methods Sixty children with bronchial foreign bodies admitted to our hospital from November 2015 to November 2016 were selected and equally divided into experimental group and control group according to different anesthetic methods. Patients in the experimental group were anesthetized with inhaled sevoflurane anesthesia during operation, while patients in the control group were anesthetized with propofol during the operation. The anesthesia effects of the two groups were compared. Results The incidence of intraoperative cough, difficulty in handling the throat, postoperative tongue retroversion, postoperative vomiting and other abnormalities (40.00%) were significantly higher in the control group than in the experimental group (3.33%) after being anesthetized by different anesthesia methods. ) In control group (3.98 ± 0.54) min and recovery time (39.66 ± 8.73) min, which were significantly higher than those in experimental group (1.23 ± 0.24) min and recovery time (11.76 ± 5.24) min , The differences were statistically significant (P <0.05). Conclusion The safety of inhalation of sevoflurane for anesthesia in pediatric patients who need bronchial foreign body removal should be better than other anesthesia methods in the treatment of patients with intraoperative and postoperative cognitive effects smaller.