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目的 对比静脉与吸入两种不同麻醉用于小儿斜视矫正手术的特点。方法 10 0例择期手术患儿随机分为 2组 ,吸入组 5 0例 ,静脉组 5 0例。诱导后吸入组吸入 0 1%异氟醚复合N2 O :O2(1:1) ,静脉组用注入泵持续注入双异丙酚 ,第一个 10分钟为 10mg/(kg·h) ,第二个 10分钟为8mg/(kg·h) ,以后为 6mg/(kg·h) ,直至手术结束。观察对循环、呼吸、苏醒时间的影响以及术后恶心、呕吐、躁动、过度镇静等不良反应。结果 两组患儿在年龄、性别、身高、体重方面差异均无显著性 (P >0 0 5 ) ,两组在麻醉时间 ,手术时间 ,停药至拔管时间亦无显著差异 (P >0 0 5 )。两组术后 2 4小时哭闹、烦躁、恶心、呕吐、过度镇静等不良反应差异无显著性 (P >0 0 5 ) ,术中两组患儿均出现程度不同的眼心反射 ,其中心率低于 60次 /min吸入组 8例 ,静脉组 2 2例 ,两组间比较差异有统计学意义 (P <0 0 5 )。结论 双异丙酚全凭静脉麻醉与吸入麻醉相比效果满意 ,苏醒同样快 ,合并症少 ,但易致窦性心动过缓
Objective To compare the characteristics of intravenous and inhalation anesthesia for strabismus surgery in children. Methods One hundred and ten children undergoing elective surgery were randomly divided into two groups: 50 in inhalation group and 50 in intravenous group. The induced inhalation group inhaled 0 1% isoflurane compound N2 O: O2 (1: 1), and the intravenous infusion of propofol was continued with infusion pump for the first 10 minutes at 10 mg / (kg · h) A 10-minute 8mg / (kg · h), then 6mg / (kg · h) until the end of surgery. Observe the impact on circulation, respiration, recovery time and postoperative nausea, vomiting, restlessness, excessive sedation and other adverse reactions. Results There was no significant difference in age, sex, height and weight between the two groups (P> 0.05). There was no significant difference in anesthesia time, operation time, withdrawal time to extubation time between the two groups (P> 0.05) 0 5). There were no significant differences in adverse reactions such as crying, irritability, nausea, vomiting and over-sedation between the two groups (P> 0.05). There were different degrees of ocular reflexes in both groups. The heart rate Less than 60 beats / min inhalation group of 8 cases, venous group of 22 cases, the difference between the two groups was statistically significant (P <0 05). Conclusions All propofol intravenous anesthesia with satisfactory results compared with inhalation anesthesia, wake up as fast, less complications, but easy to cause sinus bradycardia