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

Comparison of halothane and enflurane anaesthesia for otolaryngological surgery in children.
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氟烷与安氟烷用于儿童耳鼻喉科手术麻醉的比较。

DOI:
10.1097/00132586-198204000-00042
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发表时间:
1982
影响因子:
9.8
通讯作者:
L. Lindgren
L. Lindgren
中科院分区:
医学1区
文献类型:
--
作者:
L. Lindgren

文献摘要

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本文对131例儿童腺样体切除术中应用氟烷和安氟醚进行了比较。腺样体切除术用硫喷妥钠或Althesin诱导,扁桃体切除术用硫喷妥钠诱导。在两种吸入麻醉剂期间,对手术的反应都很小(0-5%)。在立即恢复期间,安氟醚后的呼吸抑制比氟烷后更严重。静脉注射麻醉剂和吸入麻醉剂都对恢复有影响。在腺样体切除术组中,基于活动、呼吸、心率、意识和颜色的总恢复评分(0-10)在Althesin +安氟醚后改善最快,在硫喷妥钠+氟烷后改善最慢。在扁桃体切除术组中,安氟醚后的恢复评分优于氟烷后。两种吸入麻醉剂后,寒战的频率范围为0 - 17%。
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%.