小儿七氟醚静吸复合麻醉和全凭静脉麻醉术后苏醒效果对比分析.docxVIP

小儿七氟醚静吸复合麻醉与全凭静脉麻醉术后苏醒的效果对比分析［摘要］目的：探讨小儿手术中应用七氟醚静吸复合麻醉方案与全凭静脉麻醉方案对术后苏醒情况影响对比。方法：选择小儿手术病例80例，均为我院2017年2月至2018年2月收治，随机分组，就采用七氟醚静吸复合麻醉（观察组，n=40）与采用全凭静脉麻醉（对照组，n=40）术后苏醒效果展开对比。结果：观察组意识消失、插管时间相对长于对照组，但苏醒时间、拔管时间、定向力恢复时间均短于对照组，差异均有统计学意义（P0.05）。观察组疼痛评分、躁动评分均低于对照组，差异有统计学意义（P0.05）。结论：小儿手术采用七氟迷静脉复合麻醉方案，相较全凭静脉麻醉，虽起效时间缓慢，但可加快术后苏醒进程，减轻疼痛和躁动程度，值得临床广泛应用。关键词：小儿手术；全凭静脉麻醉；七氟醚静吸复合麻醉；苏醒时间对比Comparative analysis of the effects of sevoflurane inhalation combined with total intravenous anesthesia in childrenObjective: To compare the effects of sevoflurane inhalation combined anesthesia and total intravenous anesthesia on postoperative recovery in pediatric surgery. Methods: 80 cases of pediatric surgery were selected and treated in our hospital from February 2017 to February 2018. They were randomly divided into two groups. Sevoflurane combined anesthesia (observation group, n=40) was used to compare the effect of total intravenous anesthesia (control group, n=40). Results: the consciousness disappeared and the intubation time of the observation group was longer than that of the control group, but the recovery time, the extubation time and the orientation recovery time were shorter than those in the control group, the difference was statistically significant (P0.05). The pain score and restlessness score in the observation group were lower than those in the control group (P0.05). Conclusion: seven fluorine intravenous anaesthesia is used in childrens operation, compared with total intravenous anesthesia, although it has a slow onset time, it can accelerate the process of postoperative recovery, reduce pain and agitation, and it is worthy of clinical application.Key words: Pediatric Surgery; total intravenous anesthesia; sevoflurane inhalation combined anesthesia; recovery time comparison小儿机体各项生理机能尚未完全发育成熟，受其特殊心理、生理状况的影响，在手术中，对安全可靠、诱导及苏醒快速的麻醉方式予以选择，是保障手术质量的关键。七氟醚静吸复合麻醉可有效满足上述要求，作用时间长、术后恢复快，对确保手术可顺利实施意义显著［1-2］。本次研究针对所选小儿手术病例，随机分组，分别采用七氟醚静吸复合麻醉方案与全凭静脉麻醉方案，旨在明确前者优势，指导临床应用，现回顾结果如下。1 资料与方法1.1 一般资料