CAJ | 학술논문

目的探讨面罩吸入七氟醚复合瑞芬太尼在小儿包皮环切手术中的麻醉效果.方法患儿60例(3-9岁),ASA Ⅰ～Ⅱ级,随机分为三组,七氟醚组(Ⅰ组)、丙泊酚组(Ⅱ组)和氯氨酮组(Ⅲ组)各20例.Ⅰ组面罩吸入七氟醚.静脉注射瑞芬太尼;Ⅱ组静脉注射瑞芬太尼及丙泊酚,Ⅲ组静脉注射氯氨酮.分别记录三组麻醉手术期间血流动力学的参数、血氧饱和度(SPO2)的变化和麻醉复苏的时间.结果 Ⅰ组诱导后和手术时心率、血压基本保持平稳(P>0.05). Ⅱ组在诱导后心率和血压下降较Ⅰ组明显(P<0.05),且Ⅱ组术中心率和血压波动明显(P<0.05).术后患儿自主睁眼和随意运动时间Ⅰ组明显早于Ⅲ组(P<0.05).结论面罩吸入七氟醚联合瑞芬太尼在小儿包皮环切手术中的麻醉平稳,效果确切,苏醒快.
목적 탐토면조흡입칠불미복합서분태니재소인포피배절수술중적마취효과.방법 환인60례(3-9세),ASA Ⅰ～Ⅱ급,수궤분위삼조,칠불미조(Ⅰ조)、병박분조(Ⅱ조)화록안동조(Ⅲ조)각20례.Ⅰ조면조흡입칠불미.정맥주사서분태니;Ⅱ조정맥주사서분태니급병박분,Ⅲ조정맥주사록안동.분별기록삼조마취수술기간혈류동역학적삼수、혈양포화도(SPO2)적변화화마취복소적시간.결과 Ⅰ조유도후화수술시심솔、혈압기본보지평은(P>0.05). Ⅱ조재유도후심솔화혈압하강교Ⅰ조명현(P<0.05),차Ⅱ조술중심솔화혈압파동명현(P<0.05).술후환인자주정안화수의운동시간Ⅰ조명현조우Ⅲ조(P<0.05).결론 면조흡입칠불미연합서분태니재소인포피배절수술중적마취평은,효과학절,소성쾌.
Objective To investigate the effects of mask inhalation of sevoflurane combined with iv injection of remffentanil in pediatric circumcision ,and to compared with propofol and kctamine. Methods Children with 60 cases (3～9years old), ASA Ⅰ ～ Ⅱ grade, were randomly divided into three groups: sevoflurane group (Ⅰ group) , propofol group (Ⅱ group), ketamine (group Ⅲ) , each group of 20 cases, group Ⅰwas induced with mask inhalation of sevoflurane and iv injection of remifentanil, group Ⅱ were induced with propofol and remifentanil, group Ⅲ were induced with ketamine, recorded separately the hemodynamic parameters and oxygen saturation in anesthesia period, the anesthesia and eztrly recovery time. Rasults The heart rate and the blood pressure in group Ⅰ maintain steady basically in induction and surgery(p>0.05). the heart rate and the blood pressure in group Ⅱ compare Ⅰ group obvious decreased after induction(P< 0.05).and in surgery the heart rate and blood pressure in group Ⅱ obvious fluctuation (P<0.05),the time of opening eyes independently and voluntary movement was obviously earlier in group Ⅰ than in group Ⅲ after the surgery. Conclusion Anesthesia of mask inhalation of sevoflurane combined with remifentanil is stable and effect and recovery quickly in pediatric circumcision