Clinical observation of sevoflurane inhalation anesthesia and remifentanil-propofol intravenous anesthesia for dental caries surgery in children
Objective To observe the practical effect of sevoflurane inhalation anesthesia and remifentanil-propofol intravenous anesthesia for dental caries surgery in children.Methods 60 children who underwent surgical treatment for dental caries were divided into a control group and an observation group using a random numerical table,with 30 cases in each group.The control group was given remifentanil-propofol intravenous anesthesia,and the observation group was given sevoflurane inhalation anesthesia.Comparison was made on the heart rate and mean arterial pressure at different time points[before anesthesia(T0)and at the beginning of surgery(T1)],the onset time of anesthesia,postoperative respiratory recovery time,pharyngeal reflex recovery time,wake-up time,laryngeal mask removal time,and the incidence of adverse reactions between the two groups.Results At T0,there was no significant difference in heart rate and mean arterial pressure between the two groups(P>0.05).At T1,the heart rate and mean arterial pressure in the control group were significantly lower than those at T0 in this group,and the difference was statistically significant(P<0.05).In the observation group,there were no significant changes in heart rate and mean arterial pressure at T1 compared with those at T0 in this group,and the difference was not statistically significant(P>0.05).At T1,the observation group had heart rate of(95.68±2.02)beats/min and mean arterial pressure of(69.79±1.65)mm Hg(1 mm Hg=0.133 kPa),which were higher than(82.76±1.95)beats/min and(61.15±1.42)mm Hg in the control group,and the difference was statistically significant(P<0.05).The onset time of anesthesia,postoperative respiratory recovery time,pharyngeal reflex recovery time,wake-up time,and laryngeal mask removal time in the observation group were slightly shorter than those in the control group,but the difference was not statistically significant(P>0.05).The incidence rate of adverse reactions in the observation group was 3.33%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Sevoflurane inhalation anesthesia and remifentanil-propofol intravenous anesthesia are both effective for dental caries surgery in children.Sevoflurane inhalation anesthesia has less impact on children's vital signs and fewer adverse reactions,which is worthy of clinical priority application and promotion.
SevofluraneInhalation anesthesiaRemifentanilPropofolDental caries surgery in children
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