CAJ | 학술논문

目的：探讨和分析七氟醚和氯胺酮在小儿麻醉手术中的效果。方法：将我院此次收治的68例小儿手术患者，按照随机数字表法分组为试验组和对照组，各为34例。对照组：使用氯胺酮进行静脉麻醉；试验组：使用七氟醚吸入麻醉。结果：与试验组相比，对照组患者在诱导后5min，其HR明显增快（P＜0．05）。试验组患者的疼痛反射消失时间要明显长于对照组；但是，试验组患者术后睁眼和出手术室时间要明显短于对照组，术中分泌物增加和术中躯体运动以及术后精神症状要明显少于对照组（P＜0．05）。结论：与氯胺酮静脉麻醉相比较，采用七氟醚吸入进行麻醉，其产生的并发症比较少，且苏醒快。患者容易接受，在小儿麻醉手术中是一种比较理想的麻醉方法。
목적：탐토화분석칠불미화록알동재소인마취수술중적효과。방법：장아원차차수치적68례소인수술환자，안조수궤수자표법분조위시험조화대조조，각위34례。대조조：사용록알동진행정맥마취；시험조：사용칠불미흡입마취。결과：여시험조상비，대조조환자재유도후5min，기HR명현증쾌（P＜0．05）。시험조환자적동통반사소실시간요명현장우대조조；단시，시험조환자술후정안화출수술실시간요명현단우대조조，술중분비물증가화술중구체운동이급술후정신증상요명현소우대조조（P＜0．05）。결론：여록알동정맥마취상비교，채용칠불미흡입진행마취，기산생적병발증비교소，차소성쾌。환자용역접수，재소인마취수술중시일충비교이상적마취방법。
Objective: To investigate and analyze the effects of sevoflurane and ketamine anesthesia in pediatric surgery.Methods:The hospi-tal treated 68 cases of pediatric surgery patients, according to the random number table grouped into test and control groups, each of 34 cases.Con-trol group: intravenous anesthesia using ketamine; experimental group: sevoflurane anesthesia.Results: Compared with the experimental group and the control group of patients after induction 5min, which significantly increased HR (P <0.05).Pain reflex test group were significantly longer than the disappearance of time in the control group;however, the test group of patients with eyes open and operating room time is significantly shorter than the control group, increased secretion surgery and intraoperative and postoperative physical motion of psychiatric symptoms significantly less than the control group (P <0.05).Conclusion:Compared with intravenous ketamine anesthesia, using sevoflurane anesthesia, which produces fewer compli-cations and rapid recovery.Patients readily accepted in pediatric anesthesia is an ideal method of anesthesia.