七氟醚与丙泊酚在小儿斜视手术麻醉的应用效果观察

目的 探究在小儿斜视手术麻醉中采用七氟醚与丙泊酚的效果。方法 选取我院2021年10月-2023年10月收治的72例斜视患儿为研究对象，采用随机数字表法分为对照组和观察组，各36例，对照组输注丙泊酚，观察组吸入七氟醚，比较两组生命体征、麻醉恢复情况、躁动发生率。结果 两组DBP、SBP比较，差异无统计学意义（P ＞0.05）；观察组T2、T3、T4、T5时刻HR高于对照组（P ＜0.05）；观察组PACU停留时间、Steward达到4分时间长于对照组，自主呼吸恢复时间短于对照组（P ＜0.05），拔除气管导管时间短于对照组，差异无统计学意义（P＞0.05）；观察组麻醉诱导期、麻醉苏醒期躁动发生率高于对照组，但差异无统计学意义（P＞0.05）。结论 在小儿斜视手术麻醉中使用七氟醚吸入的效果更好，能改善患儿生命体征，加快自主呼吸恢复时间，值得临床应用。

Application Effect of Sevoflurane and Propofol in Anesthesia of Pediatric Strabismus Surgery

Objective To explore the effect of sevoflurane and propofol in anesthesia of pediatric strabismus surgery. Methods Atotal of 72 children with strabismus admitted to our hospital from October 2021 to October 2023 were selected as the researchobjects. They were divided into control group and observation group by random number table method, with 36 children in eachgroup. The control group was infused with propofol, and the observation group was inhaled with sevoflurane. The vital signs,anesthesia recovery and incidence of agitation were compared between the two groups. Results There was no significant differencein DBP and SBP between the two groups (P >0.05). The HR of the observation group at T2, T3, T4 and T5 was higher than that of thecontrol group (P <0.05). The PACU stay time and Steward reaching 4 points time in the observation group were longer than thosein the control group, and the spontaneous breathing recovery time was shorter than that in the control group (P<0.05). Although theextubation time in the observation group was shorter than that in the control group, the difference was not statistically significant(P >0.05). The incidence of agitation during anesthesia induction and anesthesia recovery in the observation group was higher thanthat in the control group, but the difference was not statistically significant (P >0.05). Conclusion Sevoflurane inhalation is moreeffective in pediatric strabismus surgery anesthesia, which can improve the vital signs of children and accelerate the recovery timeof spontaneous breathing. It is worthy of clinical application.