七氟醚联合舒芬太尼麻醉在小儿气管异物取出术中的应用

【目的】探讨七氟醚联合舒芬太尼麻醉在小儿气管异物取出术中的应用价值。【方法】本院2013年7月至2015年7月的106例进行小儿气管异物取出术患儿随机分为试验组和对照组，每组各53例，对照组采用七氟醚联合丙泊酚静脉麻醉，试验组采用七氟醚联舍舒芬太尼静脉麻醉，观察两组患者手术中的收缩压（SBP）、心率（HR）、脉搏血氧饱和度（SpO2）等生命体征变化以及术中呛咳、屏气、呕吐发生情况。【结果】试验组置镜后5min，手术后30min的HR、SBP、SpO2等指标明显高于对照组，且两组想比较差异具有显著性（P〈0．05）。两组患儿苏醒时间相比较差异无显著性（P〉0．05）；试验组重度躁动发生率为3．78%（2／53），明显低于对照组22．64％（12／53），且两组相比较差异有显著性（P〈0．05）。试验组的术中呛咳、屏气，呕吐等发生率明显低于对照组，且两组相比较差异有显著性（P〈0．05）。【结论】七氟醚联合舒芬太尼麻醉在小儿气管异物取出术中可以减少不良情况的发生，保持生命体征稳定。

Sevoflurane Combined with Sufentanil Anesthesia in Pediatric Surgery Removal of Tracheal For-eign Bodies

Obj ective]To investigate the effects of sevoflurane combined with sufentanil anesthesia in the removal of tracheobronchial foreign bodies.Methods]Selected 106 cases of tracheal foreign body removal in children patients in our hospital in July 2013 to 2015 July,and all cases were analyzed retrospectively and were randomly divided into experimental group and control group (n= 53).Sevoflurane combined with propofol in-travenous anesthesia were used in the control group,the experimental group with sevoflurane combined with sufentanil intravenous anesthesia.Observed the two groups of patients with operation of HR,SBP,SpO2 and operation choking cough,breath holding,and vomiting.Results]The results of HR,SBP and SpO2 in the ex-perimental group during the operation were higher than those in control group and the difference is statistical significance (P <0.05).The two groups of children showed no statistical significance in recovery time after surgery (P >0.05).Agitation (restlessness)in the experimental group (3.78% in severe level)waslower than that of the control group (22.64% in severe level),and the difference was statistically significant (P <0.05).In the experimental group,cough,breath holding and vomiting rate were significantly lower than that in the control group,with statistical significance (P <0.05).Conclusion]Sevoflurane combined with sufen-tanil anesthesia in children with tracheal foreign body removal surgery can reduce the occurrence of adverse cir-cumstances and maintain stable vital signs.