七氟烷吸入联合丙泊酚—芬太尼复合静脉麻醉用于小儿气管异物取出术的麻醉效果观察.docVIP

七氟烷吸入联合丙泊酚—芬太尼复合静脉麻醉用于小儿气管异物取出术的麻醉效果观察 　　[摘要] 目的 探讨七氟烷吸入联合丙泊酚-芬太尼复合静脉麻醉应用于小儿气管异物取出术的麻醉效果。方法 选取行气管异物取出术患儿45例，随机分为两组。观察组24例采用七氟烷吸入联合丙泊酚-芬太尼复合静脉麻醉，对照组21例采用丙泊酚复合芬太尼麻醉。观察手术前后相关指标的变化。结果 两组患儿插气管镜后和清醒后平均动脉压、心率、呼吸频率均有所下降（P 0. 05）。观察组患儿术中呛咳、屏气及术后恶心呕吐、躁动的发生率低于对照组（P 0. 05）。且观察组的出入镜次数、手术时间以及麻醉恢复时间均短于对照组（P 0.05）。结论 七氟烷吸入联合丙泊酚-芬太尼复合静脉麻醉应用于小儿气管异物取出术效果显著，且安全有效，无严重不良反应发生，值得临床进一步推广研究。 　　[关键词] 气管异物；芬太尼；丙泊酚；七氟烷 　　[中图分类号] R614 [文献标识码] B [文章编号] 1673-9701（2013）36-0078-03 　　Study on the effect of Sevoflurane and Propofol - Fentanyl intravenous anesthesia in pediatric foreign body removal surgery 　　ZHANG Chen1 SHAO Xuequan2 　　1.Department of Anesthesiology， Taizhou Hospital of Zhejiang Province ，Taizhou 318000，China；2.Department of Anesthesiology， Quzhou Peoples Hospital of Zhejiang Province ，Quzhou 324000， China 　　[Abstract] Objective To study the effect of Sevoflurane and propofol - fentanyl intravenous anesthesia in pediatric foreign body removal surgery. Methods A total of 45 children with pediatric foreign in our hospital were to be studied. They were divided into successively a into observation group and control group by randomly. In the observation group， 24 cases used sevoflurane and propofol-fentanyl intravenous anesthesia control group， propofol and fentanyl anesthesia. Some index of surgery were to be observed. Results Two groups of children bronchoscope inserted inserted after bronchoscopy and sober after a mean arterial pressure， heart rate， respiratory rate has declined（P0.05）. Intraoperative observation group of children choking breath， postoperative nausea and vomiting， restlessness incidence were less than the control group（P0.05）. Discrepancy mirror observation group number， operation time and anesthesia recovery times were shorter than the control group， （P 0.05）. Conclusion Sevoflurane and propofol - fentanyl intravenous anesthesia in pediatric foreign body removal surgery the effect is significant， and the safe and effective with no serious adverse events， wor