摘要
目的比较七氟醚吸入麻醉与丙泊酚静脉麻醉在小儿腹腔镜手术的临床应用价值。方法选取我院收治的行腹腔镜手术的94例患儿为研究对象,按照随机数字表法均分2组,分为丙泊酚组与七氟醚组,每组47例。比较2组麻醉方法的麻醉效果。结果两组在T1-5时,脑电双频指数（BIS）和平均动脉压（MAP）等指标情况明显低于T0时,其中以丙泊酚组的下降程度尤为显著,差异有统计学意义（P〈0.05）;在T1-5时,七氟醚组的呼吸频率（RR）指标情况显著高于丙泊酚组,差异有统计学意义（P〈0.05）;两组患儿的苏醒时间、手术时间及术后喉管拔出时间情况比较,差异有统计学意义（P〈0.05）。结论在小儿腹腔镜手术时,采用七氟醚吸入麻醉,其麻醉深度比丙泊酚静脉麻醉更为合理。
OBJECTIVE To compare the effects of sevoflurane inhalation anesthesia and propofol intravenous anesthesia in pediatric patients undergoing laparoscopic surgery. METHODS 94 patients scheduled for laparoscopic cholecystectomy were randomized into propofol group and sevoflurane group, each consisting of 47 patients. Anesthetic effects were closely observed and compared. RESULTS At T1-5,the bispectral index （BIS） and mean arterial pressure （MAP） and other indicators were lower than that of TO in both groups, particularly in propofol group, the difference was statistically significant （ P 〈 0.05 ） ; at T1-5, respiratory frequency of sevoflurane group （ RR ） was significantly higher than that of propofol group, the difference was statistically significant （P〈0.05） ; the difference of recovery time,throat pull out time and operation time between the two groups was statistically significant （P〈0.05）. CONCLUSION In pediatric patients undergoing laparoscopic surgery, using sevoflurane inhalation anesthesia is more reasonable than propofol.
作者
李锐
LI Rui(Central People＇ s Hospital of Ji＇an ,Ji＇an,Jiangxi 343000, Chin)
出处
《今日药学》
CAS
2016年第12期879-881,共3页
Pharmacy Today
关键词
七氟醚吸入麻醉
丙泊酚静脉麻醉
小儿腹腔镜手术
sevoflurane inhalation anesthesia
propofol intravenous anesthesia
laparoscopic surgery in children
