小儿气管异物取出术的麻醉用药探讨

目的观察单纯丙泊酚-司可林复合全麻用于小儿气管异物取出术的麻醉效果。方法 60例患儿随机分为两组,丙泊酚-司可林麻醉组（S组n=30）,传统的麻醉方法组即r-OH复合氯胺酮麻醉组（K组n=30）,术中持续监测SpO2,HR,NIBP及ECG,并观察术中呛咳、喉痉挛、手术时间、苏醒时间和术后舌后坠发生率。结果 S组中SpO2变化不大,而K组SpO2术中波动较大（P〈0.05）,两组术中NIBP、HR及ECG均变化不大（P〉0.05）,S组手术时间,苏醒时间明显较K组缩短（P〈0.05）,术中呛咳、喉痉挛及术后舌坠发生率S组明显低于K组（P〈0.01）。结论单纯丙泊酚-司可林复合麻醉用于小儿气管异物取出术是一种简单、安全、有效、实用的麻醉用药。

Approach drug anaesthesia of abnormal-objects in trachea of children

Objective To observe the anaesthesia effect of the abnormal-objects extraction in kid＇s trachea by pure propofol-scoline combined anaesthesia method.Methods 60 ill kids are devided into two groups at random,namely the propofol-scoline group（Group S,n=30）,and the traditional anaesthesia method group（Group K,n=30）.During the operation,SpO2,HR,NIBP and ECG are inspected continuously,moreover,choke,cough,throat hyperkinesia,time for operation,waking-up time,and tongue fall back occurrence frequency are also under the inspection.Results SpO2 in Group S owns little variation,while SpO2 in Group K fluctuates a lot（P0.05）.NIBP、HR and ECG in both two groups have little variation.Time for operation and waking is shortened obviously comparing Group S with Group K（P0.05）.The frequency of Choke and cough during the operation,and tongue fall back occurrence is more minimum comparing Group S with Group K（P0.01）.Conclusion The pure propofol-scoline combined anaesthesia method is a simple,safe,effective,and practical method in kid＇s trachea abnormal-objects extraction operation.