作者：唐祖恩 孙福德 李军 Zu-en Fu-de吸入七氟醚氯胺酮基础麻醉小儿手术中shortbasis呼吸道分泌物adversereactions统计学意义significantdifferences清醒时间肌肉注射短小手术骶管阻滞术后不良反应childreninguinalhernia
摘要：目的 比较全凭吸入七氟醚作为基础麻醉和肌肉注射氯胺酮作为基础麻醉后再骶管阻滞,行小儿下腹短小手术的麻醉效果.方法 选择ASAⅠ～Ⅱ级,年龄8个月～5岁,行腹股沟疝疝囊高位结扎术、睾丸鞘膜积液结扎术、隐睾下降固定术的患儿40例.随机分成用吸入七氟醚组(A组)和肌肉注射氯胺酮组(B组).观察两组患儿术中心率(HR)、血压(BP)、入睡时间、清醒时间,呼吸道分泌物以及术后清醒后再入睡、躁动、恶心、呕吐等不良反应.结果 术中心率B组快于A组,差异有统计学意义(P＜0.05).清醒时间以及术后不良反应A组小于B组,差异有统计学意义(P＜0.01).呼吸道分泌物A组小于B组,差异有统计学意义(P＜0.05).结论 全凭吸入七氟醚作为基础麻醉后骶管阻滞麻醉方法,应用于小儿下腹短小手术,麻醉可控性好,呼吸道分泌物少,术毕清醒快,清醒质量好,副作用少. Abstract： Objective To compare sevoflurane inhalation depends on the basis of intramuscular injection of ketamine anesthesia and then as the basis of caudal block anesthesia, pediatric surgery in the lower abdomen short anesthetic effect.Methods Choose ASA Ⅰ-Ⅱ grade, age 8 months to 5 years, the inguinal hernia sac high ligation, high ligation hydrocele, cryptorchidism fixation decline of 40 cases of children.The 40 cases were randomly divided into inhaled sevoflurane group (group A); intramuscular injection of ketamine group (group B).Patients were observed in HR, BP, sleep time,awake time, respiratory secretions, as well as sober and then after falling asleep, restlessness, nausea, vomiting and other adverse reactions.Results HR in group B was faster than in group A were significantly different (P ＜ 0.05).Awake time,and postoperative adverse reactions,group A of less than group B, there were significant differences(P ＜0.01).Group A of respiratory secretions was less than group B, there were significant differences (P ＜ 0.05).Conclusions Sevoflur
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