七氟醚静吸复合麻醉对患儿术后苏醒期质量的影响

目的探讨七氟醚静吸复合麻醉对患儿术后苏醒期质量的影响.方法将80例拟行手术治疗的患儿按随机数字表法分为两组,每组40例.观察组采用七氟醚静吸复合麻醉,对照组采用丙泊酚全凭诱导麻醉,于麻醉前、麻醉诱导后5 min、手术开始20 min及拔管后5 min监测患儿的心率、收缩压、舒张压和血氧饱和度,术后统计拔管、苏醒及麻醉后监测治疗室停留时间,采用苏醒期躁动量化评分表评定躁动发生情况,记录不良反应发生情况.结果手术开始20 min及拔管后5 min两组心率、收缩压、舒张压显著高于麻醉前(P<0.05),观察组显著低于对照组(P<0.05);两组手术开始20 min及对照组拔管后5 min血氧饱和度显著低于麻醉前(P<0.05),观察组显著高于对照组(P<0.05).观察组患儿拔管时间、苏醒时间显著早于对照组(P<0.05),麻醉后监测治疗室停留时间显著少于对照组(P<0.05),苏醒期躁动量化评分表评分及躁动及不良反应发生率显著低于对照组(P<0.05).结论七氟醚静吸复合麻醉能够保持患儿手术过程中血流动力学的稳定性,术后患儿苏醒快,苏醒期躁动发生率低,不良反应少,优于丙泊酚全凭诱导麻醉.

Effect of sevoflurane inhalation combined anesthesia on quality of postoperative recovery period in children

Objective To observe the effect of sevoflurane inhalation combined with intravenous anesthesia on the quality of recovery period in children after operation.Methods 80 children who were to undergo surgery were divided into two groups according to the random number table method,with 40 cases in each group.The observation group was administered anesthesia with sevoflurane,and the control group was administered propofol by induced anesthesia.Heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP)and blood oxygen saturation(SPO2)were recorded before anesthesia(T1),5 minutes after anesthesia induction(T2),20 minutes after operation(T3)and 5 minutes after extubation(T4).The extubation,wake-up,and post-anaesthesia monitoring of stay in treatment room were analyzed.Record the occurrence of adverse reactions.Results SBP,DBP and HR at T3 and T4 were significantly higher than those at T1 in both groups(P<0.05),the observation group is significantly lower than the control group.The oxygen saturation of the two groups at T3 and T4 was significantly lower than before anesthesia(P<0.05),the observation group was significantly higher than the control group(P<0.05).The extubation time,recovery time and PACU stay time of the observation group were less than those of the control group(P<0.05).The PEAD score,the incidence of restlessness and the rate of adverse reactions in the observation group were significantly lower than those in the control group(P<0.05).Conclusions Sevoflurane inhalation combined anesthesia can maintain the hemodynamic stability during the operation,and it has the advantages of quick recovery,low restlessness rate during recovery and less adverse reactions,which is better than propofol total induced anesthesia.