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目的观察七氟醚吸入麻醉、丙泊酚静脉麻醉在小儿腹腔镜手术中的临床应用效果比较。方法将医院收治的行小儿腹腔镜手术患儿72例作为研究对象,随机分为A组和B组,每组36例。其中A组采用七氟醚吸入麻醉,B组采用丙泊酚静脉麻醉,对2组患儿的麻醉效果(手术时间、术后苏醒时间、喉罩拔出时间及监测指标变化)进行比较。结果 A组术后苏醒时间短于B组,差异有统计学意义(P<0.05);置喉罩即刻(T1)、手术20 min(T2)、手术完成(T3)时2组心率及平均动脉压均发生明显变化,较诱导前(T0)降低,B组降低更明显(P均<0.05);2组脉搏血氧饱和度仅T1时降低,且B组降低更明显(P<0.05)。结论在小儿腹腔镜手术中采用七氟醚吸入麻醉效果更好,利于缩短术后苏醒时间,应用价值较高。
Objective To observe the clinical effect of sevoflurane inhalation anesthesia and propofol intravenous anesthesia in pediatric laparoscopic surgery. Methods Totally 72 children with pediatric laparoscopic surgery admitted to our hospital were randomly divided into group A and group B, with 36 in each group. Group A was anesthetized with sevoflurane, group B was anesthetized with propofol, and the anesthetic effects (surgery time, postoperative recovery time, laryngeal mask extraction time and monitoring indicators) were compared between two groups. Results The recovery time of group A was shorter than that of group B (P <0.05). The heart rate and mean arterial pressure of group A at the moment of laryngeal mask (T1), 20 min (T2) and T3 (P <0.05). The pulse oximetry of the two groups decreased only at T1, and the decrease of B group was more obvious (P <0.05). Conclusion In pediatric laparoscopic surgery with sevoflurane inhalation anesthesia is better, which will help to shorten the postoperative recovery time, the application value is higher.