摘要
目的在小儿眼科麻醉患者应用七氟醚,探究其对认知功能产生的影响。方法将2016年1月—2018年2月作为研究时间段,在该时间段中从我院随机选取100例需要接受麻醉的眼科患儿进行探究分析,随机分成对照组与观察组,各50例,将异氟醚应用到对照组中,将七氟醚应用于观察组中。结果两组患儿采取相应的麻醉措施后,均在不同程度上出现了认知功能减退的情况,其中对照组患儿在术后6 h和术后24 h的认知功能减退程度大于观察组(P <0.05);相较于对照组,观察组患儿术后6 h和术后1 d的认知功能障碍发生率明显较低,差异具有统计学意义(P <0.05)。结论在小儿眼科麻醉患者应用七氟醚与异氟醚对患儿的认知功能产生了严重影响,但是由于七氟醚对患儿气道产生的影响较小,所以在小儿眼科麻醉的应用仍较为常见。
Objective To investigate the effects of sevoflurane on cognitive function in pediatric ophthalmic anesthetized patients.Methods From January 2016 to February 2018,100 cases of children in ophthalmology department were randomly selected from our hospital and were randomly divided into control group and observation group,each of 50 cases,isoflurane was applied to the control group,sevoflurane was applied to the observation group.Results After taking appropriate anesthetic measures,cognitive impairment occurred in both groups to varying degrees.The cognitive impairment of the control group at 6 hours and 24 hours after operation was greater than that of the observation group(P<0.05).Compared with the control group,the incidence of cognitive dysfunction at 6 hours and 1 day after operation in the observation group was significantly lower,the difference was statistically significant(P<0.05).Conclusion The use of sevoflurane and isoflurane in pediatric ophthalmological anaesthesia has a serious effect on the cognitive function of children,but the effect of sevoflurane on children's airway is small,so the application of anaesthesia in pediatric ophthalmology is still more common.
作者
翁建森
谢海航
WENG Jiansen;XIE Haihang(Department of Anesthesiology,Xiamen Eye Center,Xiamen University,Xiamen Fujian 361000,China)
出处
《中国卫生标准管理》
2018年第21期116-117,共2页
China Health Standard Management
关键词
七氟醚
小儿眼科
麻醉
认知功能
异氟醚
影响
sevoflurane
pediatric ophthalmology
anesthesia
cognitive function
isoflurane
influence
