摘要
Abstract
Objective:To investigate the influence of propofol and sevoflurane on hemodynamics and postoperative recovery in pediatric general anesthesia,and to evaluate their effects of anesthesia.Methods:A total of 238 children accepting surgery in 2015 in our hospital were randomly selected and divided into propofol intravenous anesthesia group (119 cases) and sevoflurane inhalation anesthesia group (119 cases).The SBP,DBP,HR at different time in perioperative period,the anesthesia induction time,awaking time,spontaneous breathing recovery time,extubation time,orientation recovery time,indexs of postoperative agitation,agitation score and adverse reactions between two groups were observed and compared.Results:The differences of SBP,DBP and HR at different time of propofol group were statistically significant (P<0.05),and those of sevoflurane group were not statistically significant (P>0.05).The SBP,DBP and HR per min of patients in propofol group at 3 min after surgery were lower than those before anesthesia induction (P < 0.05) and those in sevoflurane group,respectively at 3 min after surgery (P<0.05).The awaking time,spontaneous breathing recovery time,extubation time and orientation recovery time in propofol group were longer than those in sevoflurane group (P<0.05).The differences of adverse reactions,the number of postoperative agitation and agitation scores between two groups were not statistically significant (P>0.05).Conclusion:Sevoflurane have smaller influence on hemodynamics in pediatric patients and better recovery quality,and is ideal anesthesia mode for pediatric surgery.关键词
丙泊酚/七氟烷/小儿/血流动力学/苏醒质量Key words
propofol/sevoflurane/children/hemodynamics/recovery quality分类
医药卫生