CAJ | 학술논문

目的比较全凭吸入七氟醚作为基础麻醉和肌肉注射氯胺酮作为基础麻醉后再骶管阻滞,行小儿下腹短小手术的麻醉效果.方法选择ASAⅠ～Ⅱ级,年龄8个月～5岁,行腹股沟疝疝囊高位结扎术、睾丸鞘膜积液结扎术、隐睾下降固定术的患儿40例.随机分成用吸入七氟醚组(A组)和肌肉注射氯胺酮组(B组).观察两组患儿术中心率(HR)、血压(BP)、入睡时间、清醒时间,呼吸道分泌物以及术后清醒后再入睡、躁动、恶心、呕吐等不良反应.结果术中心率B组快于A组,差异有统计学意义(P＜0.05).清醒时间以及术后不良反应A组小于B组,差异有统计学意义(P＜0.01).呼吸道分泌物A组小于B组,差异有统计学意义(P＜0.05).结论全凭吸入七氟醚作为基础麻醉后骶管阻滞麻醉方法,应用于小儿下腹短小手术,麻醉可控性好,呼吸道分泌物少,术毕清醒快,清醒质量好,副作用少.
목적 비교전빙흡입칠불미작위기출마취화기육주사록알동작위기출마취후재저관조체,행소인하복단소수술적마취효과.방법 선택ASAⅠ～Ⅱ급,년령8개월～5세,행복고구산산낭고위결찰술、고환초막적액결찰술、은고하강고정술적환인40례.수궤분성용흡입칠불미조(A조)화기육주사록알동조(B조).관찰량조환인술중심솔(HR)、혈압(BP)、입수시간、청성시간,호흡도분비물이급술후청성후재입수、조동、악심、구토등불량반응.결과 술중심솔B조쾌우A조,차이유통계학의의(P＜0.05).청성시간이급술후불량반응A조소우B조,차이유통계학의의(P＜0.01).호흡도분비물A조소우B조,차이유통계학의의(P＜0.05).결론 전빙흡입칠불미작위기출마취후저관조체마취방법,응용우소인하복단소수술,마취가공성호,호흡도분비물소,술필청성쾌,청성질량호,부작용소.
Objective To compare sevoflurane inhalation depends on the basis of intramuscular injection of ketamine anesthesia and then as the basis of caudal block anesthesia, pediatric surgery in the lower abdomen short anesthetic effect.Methods Choose ASA Ⅰ-Ⅱ grade, age 8 months to 5 years, the inguinal hernia sac high ligation, high ligation hydrocele, cryptorchidism fixation decline of 40 cases of children.The 40 cases were randomly divided into inhaled sevoflurane group (group A); intramuscular injection of ketamine group (group B).Patients were observed in HR, BP, sleep time,awake time, respiratory secretions, as well as sober and then after falling asleep, restlessness, nausea, vomiting and other adverse reactions.Results HR in group B was faster than in group A were significantly different (P ＜ 0.05).Awake time,and postoperative adverse reactions,group A of less than group B, there were significant differences(P ＜0.01).Group A of respiratory secretions was less than group B, there were significant differences (P ＜ 0.05).Conclusions Sevoflurane inhalation depends on the basis of after caudal anesthesia method, used in little children in the lower abdomen surgery, anesthesia control, and respiratory secretions less clear-surgery fast, clear quality, less side effect.