CAJ | 학술논문

目的观察七氟烷联合舒芬太尼用于门诊小儿包皮环切手术的临床效果.方法 60例ASA Ⅰ～Ⅱ级行包皮环切手术的门诊患儿,年龄3～7岁,随机分为A,B两组.所有患儿均给予浓度8%七氟烷面罩吸人诱导,患儿入睡后,开放静脉,手术开始前,A组给予舒芬太尼0.2μg/kg慢推,B组患儿予氯胺酮2 mg/kg,术中A、B组均吸入3%～5%七氟烷维持麻醉.采用SPSS13.0软件包进行统计学分析.结果 ①B组出现T2～T5时段的MAP升高,HR增快(P＜0.01);A组T1～T5时段MAP、HR水平稍增加,没有显著性差异,(P＞0.05);②术后停药到苏醒的时间,B组大于A组,有显著性差异.(P＜0.01);③A组患者术后躁动和恶心呕吐发生率明显低于B组(P＜0.01).呼吸抑制两组均未发生.结论七氟烷联合舒芬太尼用于门诊小儿包皮手术具有术后苏醒过程平稳,舒适,不良反应少的优点.
목적 관찰칠불완연합서분태니용우문진소인포피배절수술적림상효과.방법 60례ASA Ⅰ～Ⅱ급행포피배절수술적문진환인,년령3～7세,수궤분위A,B량조.소유환인균급여농도8%칠불완면조흡인유도,환인입수후,개방정맥,수술개시전,A조급여서분태니0.2μg/kg만추,B조환인여록알동2 mg/kg,술중A、B조균흡입3%～5%칠불완유지마취.채용SPSS13.0연건포진행통계학분석.결과 ①B조출현T2～T5시단적MAP승고,HR증쾌(P＜0.01);A조T1～T5시단MAP、HR수평초증가,몰유현저성차이,(P＞0.05);②술후정약도소성적시간,B조대우A조,유현저성차이.(P＜0.01);③A조환자술후조동화악심구토발생솔명현저우B조(P＜0.01).호흡억제량조균미발생.결론 칠불완연합서분태니용우문진소인포피수술구유술후소성과정평은,서괄,불량반응소적우점.
Objective To observe the clinical effect of circumcision for children in out-patient clinic with sevoflurane complex sulfentanil anesthesia. Methods Sixty scheduled children to bc accepted circumcision from 3 ～7 years old were selected and divided into two groups randomly. Sevoflurane was used in induction and anesthesia maintain in all the children. Group A was injected sulfentanil 0. 2 μg/kg and group B was injected ketamine 2 mg/kg. SpO2, HR and MAP before induction (T0), five minutes (T1) after induction, operate beginning(T2) and the end(T3), ten minutes(T4), twenty minutes(T5) after operate, the recovery time and the ratio of postoperative nausea and vomiting, delirium were recorded. Results ①MAP and HR increased when the operate began in group B (P ＜ 0. 01), and there were no significant difference in all the time in group A (P ＞0. 05). ②There were significant difference in recovery time after operation in both groups ,the time of group B is longer than group A (P ＜ 0. 01). ③The ratio of restlessness, postoperative nausea and vomiting in group A much lower than in group B after operation (P ＜ 0. 01) , and there were no respiratory depression observed in both groups. Conclusion Sevoflurane with sulfentanil has benefits as rapid recovery, few respiratory depression, good pain relief and few complications in circumcision for children in out-patient clinic.