Objective:To investigate the effect of propofol combined with sevoflurane on the quality of anesthetic awakening in children undergoing tonsillectomy.Methods:From January 2019 to December 2023,80 children with tonsillectomy who met the inclusion criteria were selected and divided into study group and control group,with 40 cases in each group.Children in the study group were selected for combined anesthesia with propofol and sevoflurane,and the children in the control group were anesthetized with sevoflurane.The extubation time,anesthesia recovery time,incidence of emergence agitation(EV)＞15min and adverse reactions rate were compared.The changes of hemodynamic indexes[heart rate(HR),mean arterial pressure(MAP)]before anesthesia induction(To),immediately after operation(T1),immediately after extubation(T2),5 min after extubation(T3)and 10 min after extubation(T4)were compared.The scores of Watcha and FLACC at T2,T 3 and T4 were compared.Results:Firstly,the differences of extubation time,anesthesia time,HR and MAP at To time between the two groups were small(both P＞0.05),indicate that the anesthetic effect was satisfactory.Secondly,at T1-T4,the incidence of EV,HR and MAP in the study group were significantly lower than those in the control group(both P＜0.05),indicate the blood flow was stable,and the incidence of agitation was underground,finally,adverse reactions such as vomiting,nausea,and cough occurred in both groups,and the study group was lower,but the difference was not significant(both P＞0.05).Conclusion:The application of propofol combined with sevoflurane anesthesia in pediatric tonsillectomy is beneficial to the hemodynamic stability,reduce the incidence of EV,and relieve postoperative pain,which is worthy of clinical promo-tion.
Quality of anesthetic awakeningPropofolTonsillectomySevoflurane
维普
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