丙泊酚在小儿麻醉中的临床应用

目的对比观察小于3岁患儿腹部以下部位手术丙泊酚静脉麻醉前后的临床效果。方法 120例小于3岁进行腹部以下部位择期手术的患儿给予丙泊酚静脉麻醉,观察麻醉前后平均动脉压(MAP)、心率(HR)、呼吸频率(R)、脉搏氧饱和度(SpO2)的变化程度以及术后清醒时间,术中及术后躁动、呕吐等不良反应的发生率。结果麻醉前与麻醉后相比平均动脉压(MAP)、心率(HR)、呼吸频率(R)相比差异无显著性。术后清醒时间短,术中及术后躁动、呕吐等不良反应发生少。结论丙泊酚静脉麻醉用于小儿腹部以下部位手术效果满意,呼吸循环更稳定,术后清醒快,其临床效果明显优越。

The Clinical study of propofol aided child anesthesia

【Objective】To compare the clinical effects of conventional anesthesia propofol aided child anesthesia in pediatric patients who undergoing operations below belly.【Methods】120 pediatric patients（ 3years） who undergoing elective operations below belly were randomly allocated to propofol aided child anesthesia.The variation of peri-anesthesia mean arterial pressure（MAP）,heart rate（HR）,respiration rate（RR）,pulse oxygen saturation（SpO2） were tested and recorded.The wake time,the peri-operative incidence of restlessness and vomit were observed.【Results】The post-anesthesia MAP（P 0.01）,HR（P 0.01）,RR（P 0.05） were no significant difference of above parameters than its pre-anesthesia level.The wake time,peri-operative incidence of restlessness and vomit in group PS were remarkably short or lowe.【Conclusion】With stable respiration and circulation maintenance,shorter wake time,peri-operative incidence of restlessness and vomit has better clinical effect.