右美托咪定与七氟醚用于小儿困难气道麻醉诱导中作用研究Effect of dexmedetomidine and sevoflurane in the induction of difficult airway anesthesia in children
陈辉;李琦;吴琼;
摘要(Abstract)：
目的探讨右美托咪定联合七氟醚用于小儿困难气道麻醉诱导中的临床效果和安全性。方法选择经麻醉前评估为困难气道患儿53例,随机分为观察组26例和对照组27例,分别采用右美托咪定联合七氟醚和单纯七氟醚麻醉的方法,诱导5 min后利用纤维支气管镜引导经鼻进行气管插管,比较2组患儿的血流动力学指标、麻醉结果和手术结果。结果观察组患者的HR在T1、T2以及T3与对照组比较明显降低(P<0.05)。观察组患者的MAP在T2和T3与对照组比较明显升高(P<0.05)。2组患儿的SpO_2和RR无明显差异(均P>0.05)。对照组的不良反应发生率明显高于观察组P<0.05)。结论右美托咪定联合七氟醚用于小儿困难气道麻醉诱导效果良好。
关键词(KeyWords)： 右美托咪定;七氟醚;困难气道;麻醉诱导
基金项目(Foundation): 湖北省卫生健康委员会科研项目（WJ2019F015）
作者(Author): 陈辉;李琦;吴琼;
Email:
DOI: 10.13463/j.cnki.cczyy.2020.06.047
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