七氟烷吸入麻醉在小儿地震创伤清创术中的应用
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摘要
目的观察七氟烷吸入麻醉在小儿地震创伤清创术中的应用效果。方法选择ASAⅠ~Ⅱ级、年龄3~12岁的因地震创伤行清创术的患儿36例,随机等分为两组:七氟烷组(S组)及氯胺酮组(K组),分别采用面罩吸入七氟烷或肌肉注射氯胺酮进行麻醉诱导及维持。观察记录两组患者麻醉中平均动脉压(MAP)、心率(HR)、呼吸(R)及血氧饱和度(SpO2)的变化,记录诱导时间和苏醒时间,观察麻醉中及麻醉后的不良反应。结果K组术中MAP及HR均高于S组;K组术中体动多于S组。结论七氟烷吸入麻醉具有麻醉诱导迅速、维持平稳、苏醒彻底的特点,可安全用于大量小儿地震创伤清创术的麻醉。
Objective To observe the clinical effect of sevoflurane inhalation anesthesia in debridement in children injured at earthquake.Methods 36 patients with ASAⅠ～Ⅱ grade injured at earthquake treated with debridement were randomly divided into sevoflurane inhalation anaesthesia group(Group S) and ketamine anesthesia group(Group K).Sevoflurane inhalation or ketamine intramuscular injection were used for induction and maintenance of anesthesia.The mean arterial pressure(MAP),heart rate(HR),respiratory frequency(R) and Pulse Oxygen Saturation(SpO2) during anesthesia were recorded.The consciousness extinction time and consciousness recovery time were recorded.The side-effect during ansesthesia were investigated.Results The MAP and HR in Group K markedly raised compared with that in Group S.The consciousness extinction time and consciousness recovery time in Group S were obviously shorter than those in Group K.There were fewer excitation,restlessness and secretion in Group S that that in Group K.Conclusion It is safe to use sevoflurane inhalation for debridement anesthesia in the children injured at earthquake.
Objective To observe the clinical effect of sevoflurane inhalation anesthesia in debridement in children injured at earthquake.Methods 36 patients with ASAⅠ～Ⅱ grade injured at earthquake treated with debridement were randomly divided into sevoflurane inhalation anaesthesia group(Group S) and ketamine anesthesia group(Group K).Sevoflurane inhalation or ketamine intramuscular injection were used for induction and maintenance of anesthesia.The mean arterial pressure(MAP),heart rate(HR),respiratory frequency(R) and Pulse Oxygen Saturation(SpO2) during anesthesia were recorded.The consciousness extinction time and consciousness recovery time were recorded.The side-effect during ansesthesia were investigated.Results The MAP and HR in Group K markedly raised compared with that in Group S.The consciousness extinction time and consciousness recovery time in Group S were obviously shorter than those in Group K.There were fewer excitation,restlessness and secretion in Group S that that in Group K.Conclusion It is safe to use sevoflurane inhalation for debridement anesthesia in the children injured at earthquake.
引文
[1]王正国.灾难和事故的创伤救治[M].第1版.北京:人民卫生出版社,2005:8-12,47-48.
[2]张本,王学义,孙贺祥.唐山大地震所致孤儿心理创伤后应急障碍的调查[J].中华精神科杂志,2000,33(2):113-114.
[3]张宗琏,蒋小燕.地震灾害的紧急救援[J].中国全科医学,2004,7(24):1810-1811.
[4]Smith I,Nathanson M,Whtie PF.Sevoflurane-a long-awaited volatileanaesthetic[J].Bri J Anaesth,1996,76(3):436-437.
[5]庄心良,曾因明,陈伯鉴.现代麻醉学[M].第3版.北京:人民卫生出版社,2003:477-480,446.
[2]张本,王学义,孙贺祥.唐山大地震所致孤儿心理创伤后应急障碍的调查[J].中华精神科杂志,2000,33(2):113-114.
[3]张宗琏,蒋小燕.地震灾害的紧急救援[J].中国全科医学,2004,7(24):1810-1811.
[4]Smith I,Nathanson M,Whtie PF.Sevoflurane-a long-awaited volatileanaesthetic[J].Bri J Anaesth,1996,76(3):436-437.
[5]庄心良,曾因明,陈伯鉴.现代麻醉学[M].第3版.北京:人民卫生出版社,2003:477-480,446.
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