摘要
目的:探讨七氟烷吸入麻醉和异丙酚静脉麻醉在疝气手术患儿麻醉中的应用价值。方法:回顾性分析某院于2017年9月~2019年12月期间收治的86例疝气手术患儿为研究对象,将86例患儿分组为参照组与研究组各43例,给予参照组患儿异丙酚静脉麻醉,给予研究组患儿七氟烷吸入麻醉,对比两组呼吸频率(Respiratory Rate,RR)、心率(Heart Rate,HP)、麻醉起效时间、苏醒时间、清醒时间。结果:两组T 0时刻心肺临床指标水平(RR、HP)比较差异无统计学意义(P>0.05),两组T 1时刻RR、HP水平均呈现下降水平,在T 2、T 3时刻RR、HP水平研究组均高于参照组(P<0.05);研究组患儿的麻醉起效时间范围在(3.47±0.29)min之间,参照组患儿的麻醉起效时间范围在(6.21±0.24)min,研究组患儿的麻醉起效时间明显短于参照组(t=33.36,P<0.001);术后研究组患儿的睁眼时间、清醒时间以及定向力恢复时间均短于参照组(P<0.05)。结论:七氟烷吸入麻醉较异丙酚静脉麻醉对疝气手术患儿起效时间更快,患儿术后苏醒和清醒更为迅速。
Objective:To explore the application value of sevoflurane inhalation anesthesia and propofol intravenous anesthesia in children with hernia surgery.Methods:A retrospective analysis of 86 cases of children with hernia operation form September 2017 to December 2019 was conducted.All patients were divided into the control group and the study group,with 43 cases in each group.The control group was given propofol intravenous anesthesia,and the study group was given sevoflurane inhalation anesthesia,then the respiratory rate(RR),heart rate(HP),the anesthesia onset time,wake up of time,and the awake time were compared between the two groups.Results:There was no statistically significant difference between the two groups in the level of cardiopulmonary clinical indicators(RR,HP)at T0(P>0.05).RR,HP decreased in both groups at T1,and RR,HP at T2 and T3 in the study group were higher than those in the control group(P<0.05).The onset time range of the children in the study group was(3.47±0.29)min,and that of the control group was(6.21±0.24)min.The onset time of the children in the study group was significantly shorter than that of the control group(t=33.36,P<0.001).After operation,the time of eye opening,awake time and directional power recovery in the study group were shorter than those in the control group(P<0.05).Conclusion:Sevoflurane inhalation anesthesia has a faster onset time than propofol intravenous anesthesia in children with hernia surgery,and the children revive and wake up more quickly after surgery.
作者
刘彦锋
徐国亭
徐国兴
汪金娇
Liu Yanfeng;Xu Guoting;Xu Guoxing;Wang Jinjiao(Department of Anesthesiology,No.1 Affiliated Hospital of Nanyang Medical College,Nanyang 473000)
出处
《数理医药学杂志》
CAS
2021年第4期516-518,共3页
Journal of Mathematical Medicine
关键词
七氟烷吸入麻醉
异丙酚静脉麻醉
疝气手术
麻醉效果
sevoflurane inhalation anesthesia
propofol intravenous anesthesia
hernia surgery
anesthesia effect
