CAJ | 학술논문

目的观察七氟醚诱导方法在小儿腹腔镜短小手术中的应用效果.方法将择期行腹腔镜腹股沟斜疝结扎术3～6岁患儿60例,随机均分为面罩肺活量吸入法诱导组(A组)与面罩潮气量吸入法诱导组(B组).记录睫毛反射消失时间、气管插管时间、血流动力学指标、拔管时间、意识恢复时间及不良反应.结果 A组睫毛反射消失时间(43.5±4.4)s,明显短于B组的(68.8±7.6)s(P<0.01);A组气管插管时间(3.5±0.7)min,明显短于B组的(6.7±1.4)min(P<0.01);两组拔管时间、意识恢复时间、不良反应的发生率差异无统计学意义.结论两种七氟醚吸入诱导方法均可获得良好的气管插管条件;面罩肺活量吸入诱导法起效更为迅速.
목적 관찰칠불미유도방법 재소인복강경단소수술중적응용효과.방법 장택기행복강경복고구사산결찰술3～6세환인60례,수궤균분위면조폐활량흡입법유도조(A조)여면조조기량흡입법유도조(B조).기록첩모반사소실시간、기관삽관시간、혈류동역학지표、발관시간、의식회복시간급불량반응.결과 A조첩모반사소실시간(43.5±4.4)s,명현단우B조적(68.8±7.6)s(P<0.01);A조기관삽관시간(3.5±0.7)min,명현단우B조적(6.7±1.4)min(P<0.01);량조발관시간、의식회복시간、불량반응적발생솔차이무통계학의의.결론 량충칠불미흡입유도방법 균가획득량호적기관삽관조건;면조폐활량흡입유도법기효경위신속.
Objective To compare the different induction methods of sevoflurane inhalation in children.Methods Sixty patients aged 3-6 years old undergoing elective laparoscope herniorraphy were randomly and equally divided into anesthesia induction with vital capacity group (group A) and with tidal volume group (group B).The time to lash reflex lost,tracheal intubation,extubation,consciousness recovery,hemodynamic variables and adverse events were recorded.Results The time to lash reflex lost in group A was shorter than that in group B[:(43.5±4.4) s vs.(68.8±7.6) s,(P <0.01).So did the time for tracheal intubation [(3.5±0.7)rain vs.(6.7±1.4) rain,(P<0.01)].There were no significant differences in the timee of extubation,consciousness recovery,and adverse events between two groups.Conclusion The two induction methods of sevoflurane inhalation can provide excellent condition of intubation in children,of which the onset time of anesthesia induction with vital capacity is shorter than that with tidal volume technique.