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目的研究七氟醚吸入麻醉在婴幼儿电子胃镜检查中的价值。方法 60例接受电子胃镜麻醉患儿,随机分为对照组和观察组,各30例。对照组行丙泊酚全凭静脉麻醉,观察组行插管式面罩吸入七氟醚麻醉。观察麻醉效果以及患儿各生理指标变化。结果观察组心率(HR)升高,对照组HR降低,组间及组内比较差异均有统计学意义(P<0.05),而插管后15 min内两组的平均动脉压(MAP)、血氧饱和度(Sp O2)的变化差异均无统计学意义(P>0.05),同时观察组不良反应发生率明显低于对照组(P<0.05)。结论七氟醚在婴幼儿电子胃镜检查时,对患儿血流动力学影响较小,不会出现心率过慢现象,同时不良反应风险较全凭静脉麻醉更低,具有积极的意义。
Objective To study the value of sevoflurane inhalation anesthesia in electronic gastroscopy in infants and toddlers. Methods Sixty children undergoing EGG were randomly divided into control group and observation group, with 30 cases in each group. The control group received intravenous propofol anesthesia, and the observation group received intubation mask inhalation of sevoflurane anesthesia. Observation of anesthesia and changes in children with various physiological indicators. Results The heart rate (HR) of the observation group was higher than that of the control group (P <0.05), but the HR of the control group was lower than that of the control group (P <0.05) There were no significant differences in Sp O2 between the two groups (P> 0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (P <0.05). Conclusion Sevoflurane in infants electronic gastroscopy, hemodynamic less impact on children, will not appear slow heart rate phenomenon, while the risk of adverse reactions than lower intravenous anesthesia, with a positive meaning.