七氟醚麻醉诱导与氯胺酮麻醉诱导在患儿全身麻醉中的应用研究

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (42 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effects of induction of anesthesia with Sevoflurane and Ketamine anesthesia induction for children with systemic.Methods 82 cases of children with indirect inguinal hernia and who underwent the systemic general anesthesia operation in our hospital from January 2014 to January 2016 were collected,and they were randomly divided by the computer.In the control group of 41 children were underewent induction of anesthesia of Ketamine,while the observation group of 41 cases were underwent the induction of anesthesia with Sevoflurane. Then,the change level of heart rate(HR),mean arterial pressure(MAP),oxygen saturation(SpO2)of two groups were monitored,the anesthetic induction time,crying time,operation time and postoperative recovery time were compared between the two groups,and the occurrence of restlessness of two groups was statistically analyzed.Results There was no significant difference in SpO2level between the two groups before and after operation (P>0.05);the levels of HR and MAP for T1,T2,T3,T4in the observation group were lower than those in the control group(P<0.05);the operation time of the two groups were not obvious,but the anesthesia induction time,crying time and postoperative recovery time in the observation group were (154.92±10.08),(65.24±6.01)s,(28.31±3.29)min,which were shorter than those in control group (226.45± 16.54),(98.30±8.56)s and(62.18±5.73)min(P<0.05);the incidence of restlessness during recovery period in the observation group was 4.88%,which was lower than that in the control group of 17.07%(P<0.05).Conclusion The induction of anesthesia with sevoflurane in pediatric with systemic general anesthesia which it has the characteristics of rapid onset and rapid postoperative recovery.At the same time,it has little effect on respiratory cycle.

Key words： Children General anesthesia Sevoflurane Ketamine

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YIN Jun
	WU Shi-min

Cite this article:

YIN Jun,WU Shi-min. Research of application of induction of anesthesia with Sevoflurane and Ketamine anesthesia induction for children with systemic[J]. 中国当代医药, 2017, 24(9): 78-81.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I9/78

[1]	朱涛，梁敏运.七氟醚在小儿手术麻醉中的临床应用[J].中国药业，2013，22（3）：58-59.
[2]	叶松.七氟醚复合丙泊酚及芬太尼在小儿扁桃体摘除手术麻醉中的应用[J].中华全科医学，2016，14（1）：65-67.
[3]	史静，高鸿，安裕文，等.两种全身麻醉方法用于小儿气管异物取出术的比较[J].临床麻醉学杂志，2012，28（4）：384-385.
[4]	张青枝，冀相彬.单纯氯胺酮、氯胺酮复合七氟醚用于小儿非气管插管全麻效果比较[J].山东医药，2013，53（2）：69-70.
[5]	蒋文军，杨孟昌，徐冰，等.七氟醚复合舒芬太尼与氯胺酮麻醉对疝气腹腔镜手术患儿的临床效果及血液流变学分析[J].中国医院药学杂志，2016，36（10）：838-840.
[6]	方正春，夏中元，赵博，等.七氟醚和异丙酚复合氯胺酮用于小儿短小手术的临床观察[J].医学研究杂志，2016，45 （1）：125-128.
[7]	解翔彬，陈霞.七氟醚复合氯胺酮全麻在腹腔镜小儿腹股沟疝疝囊高位结扎术中的应用[J].广西医科大学学报，2011，28（3）：420-421.
[8]	韩丁，刘亚光，贾清彦，等.氯胺酮与七氟醚麻醉诱导对先天性心脏病患儿血流动力学的影响[J].临床麻醉学杂志，2015，31（9）：846-849.
[9]	汪芳俊，胡建华，万勇，等.经喉罩自主吸入七氟醚用于小儿短小手术麻醉的可行性研究[J].中国小儿急救医学，2015，11（5）：332-336.
[10]	唐晓华.七氟醚麻醉诱导在小儿全身麻醉中的应用[J].中国药物经济学，2015，17（4）：62-63.
[11]	文先杰，梁桦，杨承祥，等.氯胺酮与七氟醚用于患儿包皮套扎术麻醉效果的比较[J].中华麻醉学杂志，2016，36 （3）：318-320.
[12]	康定坤，赵丽艳.右美托咪啶与小剂量氯胺酮复合预防七氟醚麻醉术后躁动效果分析[J].现代中西医结合杂志，2014，9（17）：1913-1914.
[13]	张朝旭，王军，赵戈，等.氯胺酮氯胺酮联合丙泊酚和氯胺酮联合七氟醚用于小儿麻醉临床效果的比较[J].中国药物与临床，2014，15（12）：1680-1682.
[14]	蒋文军，杨孟昌，徐冰，等.七氟醚复合舒芬太尼与氯胺酮麻醉对疝气腹腔镜手术患儿的临床效果及血液流变学分析[J].中国医院药学杂志，2016，36（10）：838-840.
[15]	王宏伟.七氟醚麻醉诱导在患儿全身麻醉中的应用[J].中国医药科学，2014，4（16）：80-81.
[16]	孙震，胡玉莹，吕晶，等.不同七氟醚麻醉深度对幼儿脑血管自动调节功能的影响[J].中华麻醉学杂志，2014，34 （12）：1449-1451.