| 邓城旗 费翔 岳琦 王乐 郝建华.不同麻醉方案在小儿烧伤中的应用分析[J].,2014,14(21):4098-4102 |
| 不同麻醉方案在小儿烧伤中的应用分析 |
| Application of Different Anesthetic Regimens on the Treatment of Pediatricswith Burned Injuries |
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| DOI： |
| 中文关键词: 七氟醚 丙泊酚 小儿烧伤 瑞芬太尼 |
| 英文关键词: Sevoflurane Propofol Pediatric burn Remifentanil |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨不同麻醉方案对儿童烧伤患者的效果及意义。方法：将60 例烧伤患儿随机均分为AB两组。A组患儿采用七氟醚
与瑞芬太尼联合麻醉的方案进行，B 组患儿采用丙泊酚与瑞芬太尼联合的方案进行麻醉。观察并比较两种不同麻醉方案对患儿的
作用及对手术效果的影响。结果：A 组T4时的SpO2明显高于B 组，具有统计学意义(P<0.00001)；A组患儿的自主呼吸恢复时间、
拔管时间和苏醒时间均明显高于B 组，差异具有统计学意义(P<0.01)；两组的麻醉时间、呕吐、体动、支气管痉挛例数和患儿苏醒
期躁动评分相似，无统计学意义(P>0.05)。结论：相较丙泊酚联合瑞芬太尼麻醉方案，七氟醚联合瑞芬太尼麻醉方案用于小儿烧伤
手术麻醉可明显缩短患儿自主呼吸的恢复时间、拔管时间和苏醒时间。 |
| 英文摘要: |
| Objective:To discuss the application of different anesthetic regimens on the effects and significance for children suffered
fromburns.Methods:60 children with burned injuries were divied into groupAand group B. The children in the groupAwere taken
the anaesthesia with sevoflurane and remifentanil, while the children in the group B were narcotized with the propofol and remifentanil.
Then the clinical efficacy and adverse reactions of patients in the two groups were observed and compared.Results:The value of SpO2 at
T4 in the group A was obviously higher than that of the group B with statistically significant difference(P<0.0001). The recovery of spontaneous
breathing, the time of extubation and waking in the group A were shorter than those of the group B with statisti- cally significant
differences(P<0.01). There were no difference about the incidence of complications between the two groups(P>0.05).Conclusion:Compared
with the propofol and remifentanil, sevoflurane and remifentanil could markedly cut down the spontaneous breathing recovery
time, awaken time and extubation time in the surgery of the children with bured injures. |
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