丙泊酚复合七氟醚麻醉在纤维支气管镜检术中的应用

目的:探讨丙泊酚复合七氟醚麻醉在纤维支气管镜检术中的应用.方法:将40例纤维支气管镜检查患者随机分为2组,对照组采用全静脉麻醉,观察组采用丙泊酚复合七氟醚麻醉.观察2组血压、心率和SpO2的变化情况.结果:观察组SBP明显降低而术后SpO2没有明显下降.结论:丙泊酚复合七氟醚麻醉用于纤维支气管镜检查临床效果良好,不良反应少,值得临床推广.     

丙泊酚复合七氟醚麻醉在纤维支气管镜检术中的应用分析

目的探讨丙泊酚复合七氟醚麻醉在纤维支气管镜检术中的应用及临床效果。方法 2010年05月至2011年05月期间,我院诊治的40例纤维支气管镜检查患者,随机分为观察组(丙泊酚复合七氟醚麻醉)和对照组(全静脉麻醉),每组各20例,对其病例进行回顾性分析。结果与对照组SBP(111.1±20.5)相比,观察组的SBP(96.5±15.7)明显降低,P<0.05,差异具有统计学意义;观察组术后SpO2与术前SpO2(98.5±0.7)相比,没有明显下降(98.1±0.4),P>0.05。结论对于纤维支气管镜检查,丙泊酚复合七氟醚麻醉的临床效果良好,而且不良反应少,值得临床广泛推广。     

丙泊酚复合七氟醚麻醉在小儿纤维支气管镜检术中的应用分析

目的：探讨丙泊酚复合七氟醚麻醉在小儿纤维支气管镜检术中的应用效果。方法选取本院2010年1月-2013年6月184例应用纤维支气管镜检查患儿,按照数字抽取原则分为研究组与对照组,对照组应用静脉全身性麻醉,研究组患儿则应用丙泊酚联合七氟醚麻醉,分析比较两组患者麻醉效果及检测指标变化情况。结果研究组患儿手术后SBP显著下降,手术前后差异有统计学意义（P〈0.05）;对照组术后SpO2减少,手术前后差异有统计学意义（P〈0.05）。结论丙泊酚复合七氟醚麻醉用于小儿纤维支气管镜检查效果良好,具有较高安全性,临床推广应用价值较高。     

丙泊酚复合七氟醚麻醉在小儿纤维支气管镜检术中的应用分析

目的：对丙泊酚复合七氟醚麻醉在小儿纤维支气管镜检查中的应用价值进行分析。方法纤维支气管镜检查的57例患儿,在术前均行丙泊酚复合七氟醚麻醉,对麻醉效果和手术前后患儿心率、血压及血氧饱和度改变情况进行分析。结果57例患儿麻醉总有效率为96.5%,手术前后患儿心率、血氧饱和度、舒张压无显著差异（P〉0.05）,患儿术后收缩压显著低于手术前（P〈0.05）;经统计,7例患儿出现术中呛咳,患儿术后苏醒平均时间为（9.3±2.2）min。结论在为小儿行纤维支气管镜检术时,采用丙泊酚复合七氟醚麻醉可取得显著麻醉效果,麻醉安全性高,值得在临床中推广。     

丙泊酚复合七氟醚麻醉在小儿纤维支气管镜检术中的应用分析

目的:探讨丙泊酚复合七氟醚麻醉在小儿纤维支气管镜检术中的应用效果.方法:在医院2015年7月~2016年7月诊治的纤维支气管镜检术患儿中抽取64例,以随机抽样方式分组,研究组(n=32)应用丙泊酚复合七氟醚麻醉,对照组(n=32)接受全静脉麻醉,对比两组麻醉效果以及苏醒时间.结果:研究组麻醉优良率是96.88%,平均苏醒时间(9.25±1.17)min;对照组麻醉优良率是81.25%,平均苏醒时间(15.27±2.28)min;两组对比均有显著差异(P<0.05或P<0.01).结论:丙泊酚复合七氟醚麻醉在小儿纤维支气管镜检术中的应用效果肯定,安全性高,可促使患儿早期苏醒.     

丙泊酚复合七氟醚在纤维支气管镜检术中的应用分析

目的对丙泊酚复合七氟醚麻醉在纤维支气管镜检术的作用进行探究分析。方法 57例纤维支气管镜检查术患者,运用随机双盲法将其分为实验组(29例)和对照组(28例),对照组患者给予全静脉麻醉,实验组患者给予丙泊酚复合七氟醚麻醉。对比两组麻醉效果。结果术前,两组患者的收缩压(SBP)、舒张压(DBP)以及心率(HR)对比差异无统计学意义(P>0.05);术后,实验组患者的SBP下降情况明显优于对照组,差异有统计学意义(P<0.05)。结论在纤维支气管镜检术中应用丙泊酚复合七氟醚进行麻醉,能够提高麻醉安全性,降低不良反应,可将其作为对纤维支气管镜检术患者麻醉的理想方法。     

七氟醚复合丙泊酚麻醉在小儿手术中的应用

目的 通过对七氟醚复合丙泊酚麻醉在小儿手术应用中的临床观察,探讨适合小儿手术的麻醉方式.方法 30例择期手术的患儿随机分为Ⅰ、Ⅱ两组,Ⅰ组以七氟醚吸入诱导并维持麻醉,Ⅱ组行氯胺酮基础麻醉并在术中间断静脉推注氯胺酮1～2mg/kg来维持和加深麻醉.两组患儿术中给予丙泊酚1mg/(kg·h)静脉输注.记录诱导后(T1),手术切皮时(T2)和手术结束时(T3)的spO2、HR,Bp值和惠儿的苏醒时间,并观察术后恶心、呕吐、尿潴留、谵妄躁动等不良反应的发生率.结果 两组患儿各时点的spO2、HR和Bp值的差异均无统计学意义(P>O.O5),Ⅰ组患儿术后苏醒时间较Ⅱ组明显缩短(P〈O.0 5),谵妄发生率显著低于Ⅱ组(P〈O.05).结论 七氟醚复合丙泊酚麻醉缩短了苏醒时间,降低了术中躁动和术后谵妄的发生率,从安全性和有效性上都不失为一种适合小儿手术的麻醉方式.     

丙泊酚泵注麻醉对比七氟醚吸入麻醉在小儿手术中的比较研究

目的探讨丙泊酚泵注麻醉与七氟醚吸入麻醉在小儿手术中的临床效果。方法 50例行手术患儿,根据不同麻醉方法划分为研究组25例和对照组25例,研究组给予七氟醚吸入麻醉,对照组给予丙泊酚泵注麻醉,对两组麻醉效果及不良反应进行观察对比。结果研究组麻醉诱导时间(1.6±0.3)min、苏醒时间(5.6±2.7)min及出手术时间(20.6±7.2)min显著低于对照组(5.3±1.4)min、(17.9±9.1)min、(30.5±14.5)min;研究组不良反应发生率8.0%较对照组24.0%明显更低,数据差异具备统计学意义(P<0.05)。结论七氟醚吸入麻醉应用于小儿手术麻醉效果佳,安全可靠,无明显不良反应,具有临床推广应用价值。     

七氟醚复合丙泊酚麻醉在小儿气管异物取出术中的应用

对在小儿气管异物取出术中使用七氟醚复合丙泊酚麻醉的诱导维持及苏醒特点进行探讨,报告如下:     

七氟醚复合丙泊酚在小儿气道异物取出术中的麻醉效果

目的观察七氟醚复合丙泊酚在小儿气道异物取出术中的麻醉效果。方法选择符合美国麻醉学会制定的Ⅰ-Ⅱ级标准、年龄1—4岁、行气管异物取出术小儿60例,随机数字表法分为七氟醚组和氯胺酮组,每组30例。七氟醚组采用吸入七氟醚诱导麻醉,术中维持药物选用丙泊酚1．5mg／（kg·h）微泵持续注入。间断吸入七氟醚;氯胺酮组静脉注射咪达唑仑0．1mg／kg和氯胺酮1．5mg／kg诱导麻醉,术中麻醉深度不足时分次静脉注射氯胺酮1．5mg／kg至麻醉满意。记录诱导前（T0）、麻醉诱导后术前1min（T2）、插入支气管镜时（T2）、拔支气管镜时（T3）、清醒时（T4）血压、心率及血氧饱和度。记录手术时间、苏醒时间和术中医生满意度,观察术中和术后患儿是否有支气管痉挛、呕吐、呼吸道梗阻、舌后坠等并发症。结果2组患儿T2时收缩压、心率较T0时明显升高。七氟醚组患儿T1时收缩压、心率较T0时明显降低;2组患儿血氧饱和度T1-T4各时段均较T0时明显升高;七氟醚组患儿苏醒时间显著快于氯胺酮组;七氟醚组患儿医生满意度较氯胺酮组高;术后氯胺酮组患儿舌后坠发生率明显高于七氟醚组,差异有统计学意义（P〈0．05）。2组患儿T0～T4各时段舒张压、血氧饱和度差异均无统计学意义（P〉0．05）。结论七氟醚复合丙泊酚在小儿气道异物取出术中能提供良好的手术条件,术中麻醉平稳,术后患儿苏醒快且苏醒质量较高。     

七氟醚复合丙泊酚在小儿气道异物取出术中的麻醉效果

Objective To observe the anesthetic effect of sevoflurane combined with propofol total general anaesthesia in children undergoing tracheal foreign body removal. Methods Sixty patients aged from 1 to 4 years admitted for tracheal foreign body removal were randomly divided into two groups : sevoflurane group (n = 30) and ketamine group (n = 30). In the sevoflurane group, anaesthesia was induced and maintained with inhalation of sevoflurane and propofol [1.5 mg/(kg · h)] was administered continuously for anesthesia maintenance by micro-pump during operation. The ketamine group were pre-medicated with ketamine 6 mg/kg i. m for sedation, then an-aesthesia was induced with midazolam 0.1 mg/kg and ketamine 1.5 mg/kg i. v and was maintained with intravenous bolus of ketamine. Systolic blood pressure(SBP), Diastolic blood pressure(DBP) ,heart rate(HR) and saturation of percutaneous oxygen(SPO2) were monitored in both groups before anaesthesia inducation (T0) , after anaesthesia inducation and before operation (T1), at the time point of bronchial endoscopy(T2) ,endoscope remoral (T3) ,con-sciousness recovery(T4). The operation condition was evaluated by surgeons, and the incidence of bronchial spasm, glossal drop, nausea and vomiting were recorded both during operation and after operation. Results The SBP and HR increased at the time point of bronchial endoscopy in two groups and decreased after anaesthesia inducation in aevoflurane group. The SPO2 increased in two group after anaesthesia inducation. Compared with ketamine group, the time of consciousness recovery was shorter markedly in sevoflurane group. The occurrence of postoperative glossal drop was higher in ketamine group. Conclusion Sevoflurane combined with propofol is safe and effective during general anaesthesia of children undergoing tracheal foreign body removal.     

七氟醚复合丙泊酚在小儿气道异物取出术中的麻醉效果

Objective To observe the anesthetic effect of sevoflurane combined with propofol total general anaesthesia in children undergoing tracheal foreign body removal. Methods Sixty patients aged from 1 to 4 years admitted for tracheal foreign body removal were randomly divided into two groups : sevoflurane group (n = 30) and ketamine group (n = 30). In the sevoflurane group, anaesthesia was induced and maintained with inhalation of sevoflurane and propofol [1.5 mg/(kg · h)] was administered continuously for anesthesia maintenance by micro-pump during operation. The ketamine group were pre-medicated with ketamine 6 mg/kg i. m for sedation, then an-aesthesia was induced with midazolam 0.1 mg/kg and ketamine 1.5 mg/kg i. v and was maintained with intravenous bolus of ketamine. Systolic blood pressure(SBP), Diastolic blood pressure(DBP) ,heart rate(HR) and saturation of percutaneous oxygen(SPO2) were monitored in both groups before anaesthesia inducation (T0) , after anaesthesia inducation and before operation (T1), at the time point of bronchial endoscopy(T2) ,endoscope remoral (T3) ,con-sciousness recovery(T4). The operation condition was evaluated by surgeons, and the incidence of bronchial spasm, glossal drop, nausea and vomiting were recorded both during operation and after operation. Results The SBP and HR increased at the time point of bronchial endoscopy in two groups and decreased after anaesthesia inducation in aevoflurane group. The SPO2 increased in two group after anaesthesia inducation. Compared with ketamine group, the time of consciousness recovery was shorter markedly in sevoflurane group. The occurrence of postoperative glossal drop was higher in ketamine group. Conclusion Sevoflurane combined with propofol is safe and effective during general anaesthesia of children undergoing tracheal foreign body removal.     

七氟醚复合丙泊酚在小儿气道异物取出术中的麻醉效果

Objective To observe the anesthetic effect of sevoflurane combined with propofol total general anaesthesia in children undergoing tracheal foreign body removal. Methods Sixty patients aged from 1 to 4 years admitted for tracheal foreign body removal were randomly divided into two groups : sevoflurane group (n = 30) and ketamine group (n = 30). In the sevoflurane group, anaesthesia was induced and maintained with inhalation of sevoflurane and propofol [1.5 mg/(kg · h)] was administered continuously for anesthesia maintenance by micro-pump during operation. The ketamine group were pre-medicated with ketamine 6 mg/kg i. m for sedation, then an-aesthesia was induced with midazolam 0.1 mg/kg and ketamine 1.5 mg/kg i. v and was maintained with intravenous bolus of ketamine. Systolic blood pressure(SBP), Diastolic blood pressure(DBP) ,heart rate(HR) and saturation of percutaneous oxygen(SPO2) were monitored in both groups before anaesthesia inducation (T0) , after anaesthesia inducation and before operation (T1), at the time point of bronchial endoscopy(T2) ,endoscope remoral (T3) ,con-sciousness recovery(T4). The operation condition was evaluated by surgeons, and the incidence of bronchial spasm, glossal drop, nausea and vomiting were recorded both during operation and after operation. Results The SBP and HR increased at the time point of bronchial endoscopy in two groups and decreased after anaesthesia inducation in aevoflurane group. The SPO2 increased in two group after anaesthesia inducation. Compared with ketamine group, the time of consciousness recovery was shorter markedly in sevoflurane group. The occurrence of postoperative glossal drop was higher in ketamine group. Conclusion Sevoflurane combined with propofol is safe and effective during general anaesthesia of children undergoing tracheal foreign body removal.     

七氟醚复合丙泊酚在小儿气道异物取出术中的麻醉效果

Objective To observe the anesthetic effect of sevoflurane combined with propofol total general anaesthesia in children undergoing tracheal foreign body removal. Methods Sixty patients aged from 1 to 4 years admitted for tracheal foreign body removal were randomly divided into two groups : sevoflurane group (n = 30) and ketamine group (n = 30). In the sevoflurane group, anaesthesia was induced and maintained with inhalation of sevoflurane and propofol [1.5 mg/(kg · h)] was administered continuously for anesthesia maintenance by micro-pump during operation. The ketamine group were pre-medicated with ketamine 6 mg/kg i. m for sedation, then an-aesthesia was induced with midazolam 0.1 mg/kg and ketamine 1.5 mg/kg i. v and was maintained with intravenous bolus of ketamine. Systolic blood pressure(SBP), Diastolic blood pressure(DBP) ,heart rate(HR) and saturation of percutaneous oxygen(SPO2) were monitored in both groups before anaesthesia inducation (T0) , after anaesthesia inducation and before operation (T1), at the time point of bronchial endoscopy(T2) ,endoscope remoral (T3) ,con-sciousness recovery(T4). The operation condition was evaluated by surgeons, and the incidence of bronchial spasm, glossal drop, nausea and vomiting were recorded both during operation and after operation. Results The SBP and HR increased at the time point of bronchial endoscopy in two groups and decreased after anaesthesia inducation in aevoflurane group. The SPO2 increased in two group after anaesthesia inducation. Compared with ketamine group, the time of consciousness recovery was shorter markedly in sevoflurane group. The occurrence of postoperative glossal drop was higher in ketamine group. Conclusion Sevoflurane combined with propofol is safe and effective during general anaesthesia of children undergoing tracheal foreign body removal.     

七氟醚联合丙泊酚用于小儿手术麻醉的临床观察

目的 观察七氟醚联合丙泊酚用于小儿手术时对血流动力学的影响和不良反应.方法 选取择期手术患儿60例,依住院号的奇偶数分为奇数氯胺酮-丙泊酚组(K组),偶数七氟醚-丙泊酚组(S组),每组30例.观察两组患儿麻醉诱导前(T1)、麻醉后即时(T2)、切皮时(T3)、切皮后10 min (T4)、手术结束时(T5)的血压(BP)、心率(HR)、脉搏氧饱和度(SpO2)、呼气末二氧化碳(PETCO2)及其诱导、苏醒时间和不良反应等情况.结果 血流动力学:与T.相比,K组T2、T3、T4、T5各时点SBP、DBP、HR均明显增高(P＜0.05);S组的SBP、DBP、HR比K组明显降低(P＜0.05);诱导、苏醒、嗜睡时间:K组时间均长于S组(P＜0.05);不良反应:K组术中体动、恶心呕吐发生率均明显高于S组(P＜0.05).结论 七氟醚联合丙泊酚用于小儿手术,麻醉效果满意,使患儿诱导、苏醒更迅速、平顺且术中体动、呕吐发生率较低,值得临床推广.     

七氟醚麻醉在颅内动脉瘤栓塞术中的应用

目的比较七氟醚和丙泊酚在颅内动脉瘤栓塞术麻醉中应用效果。方法 36例颅内动脉瘤患者数字减影血管造影(DSA)下行栓塞治疗患者随机分为丙泊酚(P)组和七氟醚(S)组。两组用相同的静脉麻醉诱导。插入喉罩后,P组以静脉泵入丙泊酚和雷米芬太尼、顺式阿曲库铵维持麻醉,S组以七氟醚吸入维持麻醉。记录两组插入和拔喉罩前后平均动脉压(MAP)、心率(HR)变化、停药后自主呼吸恢复时间、呼之睁眼时间、拔喉罩时间,以及患者拔喉罩时及苏醒后的不良反应。结果两组在麻醉诱导后和插入喉罩时的MAP、HR均较诱导前显著下降(P<0.05)。两组拔除喉罩前后的MAP、HR与诱导前无显著差异。停药后,P组自主呼吸恢复时间、呼之睁眼时间、拔喉罩时间长于S组。结论七氟醚和丙泊酚麻醉可以安全、有效地用于颅内动脉瘤介入治疗手术中。七氟醚维持麻醉更具有早苏醒、早拔管的优势。     

七氟醚吸入麻醉和丙泊酚静脉麻醉在小儿喉部手术中应用观察

目的观察七氟醚吸入麻醉和丙泊酚静脉麻醉在小儿喉部手术中的应用效果。方法 76例喉部手术患儿,使用随机数字表法分为观察组及对照组,各38例。观察组给予七氟醚吸入麻醉,对照组患儿给予丙泊酚静脉麻醉,观察两组患儿的麻醉效果及血压、心率、血氧饱和度变化情况,统计两组患儿手术过程中的不良反应发生率。结果观察组麻醉效果明显优于对照组,差异有统计学意义(P<0.05)。观察组患儿诱导完成后舒张压以及收缩压优于对照组,差异有统计学意义(P<0.05);观察组患儿不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论七氟醚吸入麻醉在小儿喉部手术中的应用具有更加良好的临床效果,患儿苏醒时间更短、不良反应发生率更低,值得临床推广。     

七氟醚在小儿手术麻醉中的应用

目的观察七氟醚应用于小儿外科手术麻醉的效果。方法选择40例择期手术患儿,年龄2～10岁,ASAⅠ～Ⅱ级,用七氟醚麻醉诱导和氯胺酮全麻后严密观察患儿的生命体征变化及不良反应,并比较两者的麻醉诱导时间、麻醉清醒时间。结果 40例患儿呼吸、心率、血压、血氧饱和度平稳。手术顺利均痊愈出院。其中七氟醚吸入麻醉组麻醉诱导时间及麻醉清醒时间均短于氯胺酮全麻组。无明显不良反应的发生。结论七氟醚应用于小儿外科手术麻醉无异味刺激,诱导快,安全、操作简便,术后麻醉苏醒快,兴奋躁动、恶心、呕吐等不良反应发生少,优于氯胺酮全麻组,是小儿麻醉较理想的药物。值得临床大力推广。     

七氟醚复合瑞芬太尼丙泊酚全麻在小儿耳鼻喉手术中的应用

目的探讨七氟醚复合瑞芬太尼丙泊酚全麻在小儿耳鼻喉手术中的麻醉效果。方法选择90例在我院实施耳鼻喉手术患儿,随机分为观察组和对照组。观察组患儿给予丙泊酚联合瑞芬太尼麻醉,同时持续吸入七氟醚。对照组患儿给予丙泊酚和瑞芬太尼联合麻醉。观察两组患儿不同麻醉时刻血流动力学改变情况,观察麻醉后恢复情况。结果对照组患儿在麻醉剂注入后、手术开始时、手术结束的心率、收缩压和舒张压分别与本组的麻醉剂注入前比较,差异有统计学意义（P〈0．05）;观察组患儿在麻醉剂注入后、手术开始时、手术结束的心率、舒张压分别与本组的麻醉剂注入前比较,差异有统计学意义（P〈0．05）。观察组患儿术后自主呼吸恢复时间、睁眼时间、拔管时间、定向力恢复时间均长于对照组,差异有统计学意义（P〈0．05）。观察组患儿中躁动发生率低于对照组,差异有统计学意义（P〈0．05）。结论七氟醚复合瑞芬太尼丙泊酚全麻在小儿耳鼻喉手术中麻醉效果好,血流动力学指标平稳,发生躁动少,值得借鉴。     

七氟醚吸入麻醉在小儿唇腭裂手术中的应用

目的探讨七氟醚吸入麻醉在小儿唇腭裂手术中的应用。方法 60例小儿唇腭裂患儿,随机分为七氟醚吸入组和异氟醚吸入组,各30例,观察两组患儿的疗效。结果七氟醚吸入组的拔管时间以及苏醒时间和恢复室停留时间均明显短于异氟醚吸入组,差异具有统计学意义（P〈0.05）。结论七氟醚是一种具有芬芳气味、诱导迅速、麻醉平稳、苏醒快、且在手术中不需肌松药物的吸入麻醉剂,是小儿唇腭裂手术较为理想的麻醉选择。