七氟醚和氯胺酮用于小儿扁桃体摘除术麻醉诱导的比较

目的比较七氟醚和氯胺酮在小儿扁桃体摘除术麻醉诱导的临床效果。方法选择2011年4-12月在我院行小儿扁桃体摘除术的患儿60例,随机分为七氟醚组和氯胺酮组,分别采用七氟醚和氯胺酮进行麻醉,比较分析两组麻醉效果和并发症的发生情况。结果两组患者均顺利实施手术治疗,麻醉效果均能达到要求。七氟醚组手术时间、苏醒时间、拔管时间较氯胺酮组明显缩短(P<0.05),支气管痉挛和SpO2不稳定发生率亦显著降低(P<0.01)。结论七氟醚吸入诱导在小儿扁桃体摘除术的全身麻醉中效果满意,在临床应用中还可以联合其他药物,以降低其不良反应,取得更好的麻醉效果。

Comparison of sevoflurane and ketamine in anesthesia induction during pediatric tonsillectomy

Objective To compare the effect of sevoflurane and ketamine in anesthesia induction during pediatric tonsillectomy.Methods 60 cases with pediatric tonsillectomy in our hospital from April to December in 2011 were randomly divided into 2 groups:sevoflurane group(sevoflurane anesthesia)and ketamine group(ketamine anesthesia).The anesthetic effects and complications of the two groups were compared.Results All the operations were completed smoothly with satisfied anesthetic effects.Compared with ketamine group,the surgical time,recovery time,extubation time in sevoflurane group were shorter significantly(P<0.05),and the rates of bronchial convulsion and SpO2 instability decreased more significantly(P<0.01).Conclusion Sevoflurane inhalation induction has satisfactory effects on pediatric tonsillectomy under general anesthesia,it can be combined with other drugs in clinical use to reduce the adverse reactions and obtain better anesthetic effects.