摘要
目的探讨全凭吸入七氟醚麻醉用于小儿腭裂修补术的效果及安全性。方法40例择期腭裂修补术患儿随机均分为全凭七氟醚吸人麻醉组（S组）和静吸复合麻醉组（E组），每组20例。E组异氟醚浓度由1％逐渐升至3％，S组七氟醚浓度由1％逐渐升至8％。维持阶段，挥发性麻醉药浓度维持在1．3～1．5MAC。连续监测血压、心率等指标，观察并比较两组诱导、维持及恢复过程。结果麻醉期间两组血压、心率比较无显著差异（P〉0．05），诱导及恢复过程拒吸、呛咳、躁动等各项指标S组明显好于E组（P〈0．05或P〈0．01）。结论全凭吸入七氟醚麻醉是小儿腭裂修补术较理想的麻醉方法。
Objective To investigate the effects and safety of inhalational anesthesia of sevoflurane in childrens＂ cleft palate repair. Methods Forty patients with cleft palate were randomly divided into sevoflurane group and Inhalation and vein injection anesthesia group, each consisted of 20 cases. Daring the anesthesia induction,isoflurane increased from 1% to 3% and sevoflurane from 1% to 8% in respective group. Inmaintenance phase,the concentration of ethereal anaesthetic must maintain at 1.3 - 1.5 MAC. By continuous monitoring blood pressure, heart rate and other parameters, to observe and compare the conditions during induction, maintenance and restoration process. Results The blood pressure and heart rate between two groups were not significant difference（ P 〉 0. 05 ）in anesthetic stage, however, the othermonitoring such as resisting inhalation, bucking and restlessness in sevoflurane group were better than that in enflurane group（ P 〈 0. 05 orP 〈 0. 01 ）. Conclusion Total inhalation-al anesthesia of sevoflurane is an ideal method in children＇ s cleft palate repair.
出处
《中国临床实用医学》
2010年第1期126-128,共3页
China Clinical Practical Medicine
关键词
吸入麻醉
七氟醚麻醉
腭裂修补术
Inhalation anesthesia
Sevoflurane
Cleftpalate repair
