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目的研究七氟醚复合麻醉在小儿气管异物取出术中麻醉效果、安全性及优点。方法选择2007年1月～2010年12月在我院行气管异物取出术的患儿72例,随机分为七氟醚组(S组)和芬太尼组(F组)各36例。S组采用七氟醚复合麻醉,F组采用芬太尼静脉全麻。麻醉过程中监测呼吸循环相关参数、不良反应、手术及苏醒时间。结果 S组和F组手术时间比较差异无统计学意义(P>0.05),但S组苏醒时间明显短于F组(P<0.01)。S组术中呛咳、屏气,术后呼吸抑制及呕吐等情况均明显少于F组(P<0.05)。结论七氟醚复合麻醉应用于小儿气管异物取出术具有明显优势。
Objective To study the anesthetic effects, safety and advantages of sevoflurane anesthesia in the removal of pediatric tracheal foreign bodies. Methods Seventy-two children with tracheal foreign bodies removed in our hospital from January 2007 to December 2010 were randomly divided into sevoflurane group (S group) and fentanyl group (F group) with 36 cases each. S group sevoflurane anesthesia, F group fentanyl intravenous anesthesia. Anesthesia monitoring respiratory cycle parameters, adverse reactions, surgery and recovery time. Results There was no significant difference in operative time between S group and F group (P> 0.05), but the recovery time in S group was shorter than that in F group (P <0.01). In group S, choking, breath holding, postoperative respiratory depression and vomiting were significantly less than those in group F (P <0.05). Conclusion Sevoflurane anesthesia applied to pediatric tracheal foreign body removal has obvious advantages.