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題 名 | 比較使用Propofol麻醉和Halothane麻醉於幼兒門診手術之麻醉恢復 |
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作 者 | 李麗琴; 許淑霞; 蔡勝國; 沈俊成; 張一蜜; 何詠愿; 錢大維; 魏拙夫; 李德譽; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 26:5 民82.09-10 |
頁 次 | 頁1949-1955 |
分類號 | 417.66 |
關鍵詞 | Halothane麻醉; Propofol麻醉; 幼兒; 門診手術; 麻醉恢復; |
語 文 | 中文(Chinese) |
中文摘要 | 28位年齡在2個月至1歲將接受腹股疝氣手術之幼兒,隨意分成2組。第一組14位施以靜脈注射Propofol 3mg/kg作為麻醉誘導,並以0.15 mg/kg/min連續灌流,輔以66%N2O作為麻醉維持之用;第二組14位幼兒接受Halothane和66% N2O麻醉。麻醉從恢復之觀察:麻醉結束停藥後,距離(1)自發性動作出現時間,(2)疼痛有所反應的時間,(3)目的性動作出現的時間及(4)拔管時 間,結果發現Propofol組均較Halothane組時間短,所需時間分別是(1)1.1分對5.0分;(2)1.2分對5.9分;(3)2.9分對7.4分及(4)4.6分對9.1分,具有顯著差異。關於幼兒神經行為功能的恢復,以出現(5)吸吮和(6)哭泣動作來評估。Propofol組吸吮動作出現所需時間為5.4分, Halothane組為11.4分;產生哭泣動作,Propofol組需時6.7分, Halothane組需時11.8分。神經行為功能的恢復,Propofol組較快,具統計上之意義( p<0.05 )。結論是,於幼兒門診手術中,Propofol不失為一種安全,恢復快速而值得考慮使用之靜脈麻醉藥物。 |
英文摘要 | Propofol is wide1y used as an intravenous anesthetic agent in adults. However very seldom have there been reports pediatric anesthesia in this regard. The present study evaluate the efficacy and safety of propofol anesthesia for out-patient surgery in infants, and compares recovery from halothane anesthesia. After obtaining informed parenta1 consent, 28 infants (ASA I, aged from 2 months to 1 year, average weight 7.9kg) scheduled for elective out-patient surgery, were studied. No premedication was given. The patients were divided random1y in two equal groups. The patients in Group I (n=14) received propofol with 66% N 2O anesthesia(propofol 3 mg/kg iv for induction and 0.15 mg/kg/min for maintenance). The patients in Group II (n=14) received halothane with 66% N2O anesthesia (halothane 0.5-1.5% for induction and maintenance ). All patients were administered succinylcholine 1.5mg/kg iv to facilitate tracheal intubation and atracurium 0.3 mg/kg iv was given to provide surgical relaxation under neuromuscular monitor ( innervator ). During surgery, the end-tidal CO2 was controlled between 32-35 mmHg. Anesthetic depth was considered adequate if the fall or rise of Bp was maintained within 20% of baseline. ECG, O2 saturation, Bp, core temperature, end-tida1 CO2 as well as any signs of airway responses were monitored. Toward the end of surgery, normal ETCO2 was restored and neuromuscular block was fully reversed. The patients were ventilated with 100% oxygen. The times to (1) the first spontaneous movement (propofol Gr. 1.1 vs halothane Gr. 5.0 min), (2) response to painful pinch (propofol Gr. 1.2 vs halothane Gr. 5.9 min), (3) purposeful movement (propofol Gr. 2.9 vs halothane Gr. 7.4 min ), (4) extubation ( propofol Gr. 4.6 vs halothane Gr. 9.1 min) were noted. The recovery of neurobehavior function was measured as the return of active sucking and crying. The time of active sucking in the propofol Gr. was 5.4 min, and 11.4 min in the halothane Gr. The time of crying in the propofol Gr. was 6.7 min, and 11.8 min in the halothane Gr. The early recovery phase and the recovery time of neurobehavior function occurred significantly faster in the propofol Gr. than the halothane Gr. (p< 0.05). Propofol anesthesia is superior to halothane anesthesia as far as out-patient surgery in infants is concerned. |
本系統中英文摘要資訊取自各篇刊載內容。