儿童下肢骨折手术中应用七氟烷吸入麻醉的效果分析及血流动力学的影响OA

Objective:To investigate the effect of sevoflurane inhalation anesthesia in children with lower limb fracture surgery and its influence on hemodynamics.Methods:80 children with lower limb fractures admitted to our hospital from November 2019 to November 2020 were selected as the research objects.They were divided into two groups according to the two-color ball method,with 40 cases in each group.Group A was given sevoflurane inhalation anesthesia,and group B was given dexmedetomidine basic anesthesia.The anesthetic effect and the influence on the quality of life of the patients were compared between the two groups.Results:The incidence of adverse reactions in group A was lower than that in group B,and the difference was statistically significant(P<0.05).The onset time of sensory block,eye opening time,awake time and orientation recovery time in group A were shorter than those in group B,and the differences between the two groups were statistically significant(P<0.05).The HRQOL scores of each dimension in group A were higher than those in group B,and the differences between the two groups were statistically significant(P<0.05).The mean blood oxygen saturation was(99.4±0.8)%,mean arterial pressure was(70.6±7.4)mmHg(1 mmHg=0.133 kPa),and mean heart rate was(108.7±8.0)beats per minute in group A,which were better than(98.2±0.9)%,(60.3±6.5)mmHg,(121.8±8.7)beats per minutethose in group B,the differences between the two groups were statistically significant(P<0.05).Conclusion:The effect of sevoflurane inhalation anesthesia in the operation of lower limb fracture in children is more ideal,which can play a faster block effect,and can make the children wake up faster after operation,ensure that the children's hemodynamics remain stable during the operation,and can prevent adverse reactions in children and improve the quality of life of children.