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氟烷与安氟醚用于小儿耳鼻喉科手术麻醉的比较。

Comparison of halothane and enflurane anaesthesia for otolaryngological surgery in children.

作者信息

Lindgren L

出版信息

Br J Anaesth. 1981 May;53(5):537-44. doi: 10.1093/bja/53.5.537.

DOI:10.1093/bja/53.5.537
PMID:7236478
Abstract

Halothane and enflurane were compared in 131 children undergoing adenoidectomy with or without tonsillectomy. Anaesthesia for adenoidectomy was induced with thiopentone or Althesin and for tonsillectomy with thiopentone. The response to surgery was minimal (0-5%) during both inhalation anaesthetics. During immediate recovery, respiratory depression was more profound after enflurane than after halothane. Both the i.v. and the inhalation anaesthetics had an influence on recovery. The total recovery scores (0-10) based on activity, respiration, heart rate, consciousness and colour improved most rapidly after Althesin + enflurane and most slowly after thiopentone + halothane on the adenoidectomy groups. In the tonsillectomy groups, the recovery scores were better after enflurane than after halothane. After both inhalation anaesthetics, the frequency of shivering ranged from 0 to 17%.

摘要

对131例接受腺样体切除术(伴或不伴扁桃体切除术)的儿童患者进行了氟烷和恩氟烷的对比研究。腺样体切除术的麻醉诱导采用硫喷妥钠或阿耳忒辛,扁桃体切除术的麻醉诱导采用硫喷妥钠。在两种吸入麻醉剂使用期间,手术反应均极小(0 - 5%)。在即刻恢复期间,恩氟烷后的呼吸抑制比氟烷后更严重。静脉麻醉剂和吸入麻醉剂均对恢复有影响。在腺样体切除组中,基于活动、呼吸、心率、意识和肤色的总恢复评分(0 - 10分)在阿耳忒辛 + 恩氟烷后改善最快,在硫喷妥钠 + 氟烷后改善最慢。在扁桃体切除组中,恩氟烷后的恢复评分优于氟烷后。在两种吸入麻醉剂使用后,寒战发生率为0至17%。

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