| 吕德珍,滕成玲,赵玉.小儿眼科日间手术中应用地氟烷、七氟烷的麻醉效果比较[J].安徽医药,2019,23(1):173-175. |
| 小儿眼科日间手术中应用地氟烷、七氟烷的麻醉效果比较 |
| Comparison of anesthetic efficacy of halothane and sevoflurane in pediatric ophthalmology day surgery |
| 投稿时间：2017-03-26 |
| DOI： |
| 中文关键词: 眼外科手术 地氟烷 七氟烷 麻醉,吸入 日间住院医疗 儿童 |
| 英文关键词: Ophthalmologic surgical procedures Halothane Sevoflurane Anesthesia,inhalation Day care Child |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨和比较地氟烷和七氟烷在眼科日间手术患儿中的疗效及不良反应。方法 收集、分析从2015年2月至2016年5月间于南京军区南京总医院行日间手术的患儿资料。入组患儿根据麻醉方案的不同分为两组,即地氟烷组和七氟烷组。比较两组患儿的基线资料、不同时间点的生命体征及血流动力学指标、术后复苏等相关指标。结果 本研究共入80例患儿,其中地氟烷组43例,七氟烷组37例。两组患儿的基线资料、在各个时间点的生命体征包括心率(heart rate,HR)、平均动脉压(mean artery pressure,MAP)及血氧饱和度(pulse Oxygen Saturation,SpO2)组间比较均差异无统计学意义(P>0.05)；地氟烷组患儿的苏醒时间为(10.4±2.5)min、清醒时间为(14.1±3.3) min及躁动发生率为4.7%均显著低于七氟烷组患儿(t=4.233,P<0.01；t=4.276,P<0.01；χ2=4.055,P=0.04)。结论 在小儿眼科日间手术麻醉维持中,地氟烷对患儿血流动力学影响较小,且术后复苏更迅速,术后躁动的发生率更低。 |
| 英文摘要: |
| Objective To compare the efficacy of halothane and sevoflurane in pediatric ophthalmology day surgery.Methods The clinical information of pediatric ophthalmology patients with day surgery at our hospital from Feb 2015 to May 2016 was retrospectively analyzed.Patients included were divided into two groups according to the anesthesia methods,halothane group and sevoflurane group.The baseline information,vital signs and hemodynamic indexes at different time points,postoperative recovery-related indicators in both groups were compared.Results 80 patients were enrolled in this research,including 43 in halothane group and 37 in sevoflurane group.The baseline information,vital signs and hemodynamic indexes at different time points in two groups were [(10.4±2.5) min,(14.1±3.3) min,4.7%] with no significant difference (P>0.05).The wake up time,awake time and incidence of agitation in halothane group were significantly lower than those in sevoflurane group(t=4.233,P<0.01；t=4.276,P<0.01；χ2=4.055,P=0.04).Conclusion Compared with sevoflurane,the application of halothane in anesthesia maintenance could reduce the incidence of agitation and improve the postoperative recovery with little effects on the hemodynamic blood status. |
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