摘要
目的:探讨七氟烷复合盐酸吗啡在小儿全身麻醉中的效果。方法:选择78例手术患儿,随机分为七氟烷麻醉和氯胺酮麻醉组,分别应用七氟烷复合吗啡麻醉和氯胺酮麻醉。观察麻醉过程中血压、心率及呼吸改变情况,记录两组麻醉诱导时间、苏醒时间和恶心呕吐发生情况。结果:七氟烷麻醉组麻醉后各时间点平均动脉压、心率、呼吸频率均低于氯胺酮麻醉组,差异有统计学意义(P<0.05);七氟烷麻醉组麻醉诱导时间、麻醉苏醒时间、术后恶心、呕吐发生率分别低于氯胺酮麻醉组,差异有统计学意义(P<0.05)。结论:七氟烷复合盐酸吗啡用于小儿全身麻醉效果显著,麻醉诱导和苏醒快,不良反应少,值得推广应用。
Objective To explore the effect of seven sevoflurane combined with morphine hydrochloride for general anesthesia in children. Method 78 children with operation were randomly divided into seven sevoflurane anesthesia group and ketamine anesthesia group,seven sevoflurane combined with morphine anesthesia and ketamine anesthesia were used in the two groups respectively. The blood pressure,heart rate and respiration were observed during anesthesia. The induction time,recovery time and the incidence of nausea and vomiting in two groups were observed. Results The mean arterial pressure,heart rate and respiratory rate at the time point of anesthesia in the seven sevoflurane anesthesia group were all lower than those in the ketamine group,the difference was statistically significant（ P〈 0. 05）;The induction time,recovery time and the incidence of nausea and vomiting in the seven sevoflurane anesthesia group were lower than those in the ketamine anesthesia group,the difference was statistically significant（ P〈 0. 05）. Conclusion Seven sevoflurane combined with morphine hydrochloride is effective in pediatric general anesthesia,the time of anesthesia induction,recovery and adverse reactions is less,it is worth learning from.
出处
《吉林医学》
CAS
2017年第2期229-230,共2页
Jilin Medical Journal
关键词
全身麻醉
小儿
七氟烷
盐酸吗啡
氯胺酮
咪达唑仑
General anesthesia
Children
Seven isoflurane
Morphine hydrochloride
Ketamine
Midazolam
