目的 觀察七氟醚在患兒吸入麻醉誘導中的臨床應用效果與滿意度。 方法 2011年5月－2012年7月將60例患兒分為兩組，七氟醚組予以七氟醚誘導麻醉，氯胺酮組采用肌肉注射氯胺酮誘導麻醉。 結果 七氟醚吸入誘導麻醉患兒及家長術前接受度高，分別是68.3%和80.0%，其62.1%患兒順利吸入誘導入睡，麻醉效果滿意，術后蘇醒迅速、惡心嘔吐及復睡發生少，家長滿意度高達98.2%。 結論 七氟醚吸入誘導麻醉家長及患兒易于接受，有利于患兒身心健康，值得基層推廣應用。
【摘要】 目的 比較術后芬太尼皮下鎮痛（PCSA）與硬膜外鎮痛（PCEA）的臨床效果，以及對胃腸功能的影響。 方法 2009年1-6月間觀察擇期硬膜外麻醉下經腹子宮切除術患者120例，術后分別實施PCSA與PCEA，觀察術后第4、8、12、24、48 h的鎮痛、鎮靜情況，呼吸循環、惡心嘔吐及其他不良事件，記錄術后首次肛門排氣時間，測評術后鎮痛滿意度。 結果 術后兩組患者鎮痛優良率均在90%以上，各時點鎮痛評分、鎮靜評分、惡心嘔吐發生率、首次肛門排氣時間以及患者鎮痛優良率差異均無統計學意義（Pgt;0.05）。 結論 術后芬太尼PCSA與PCEA一樣，效果確切，對術后胃腸功能無明顯影響，患者滿意，是一種安全、有效的鎮痛方法。【Abstract】 Objective To compare clinical efficiency and gastrointestinal reaction of subcutaneous patient-controlled analgesia (PCSA) and epidural patient-controlled analgesia (PCEA) with fentanyl analgesic for patients after operation. Methods A total of 120 patients having undergone transabdominal hysterectomy under epidural anesthesia between January and June 2009 accepted PCSA or PCEA after operation. We evaluated the state of analgesia and sedation at the 4th, 8th, 12th, 24th and 48th hour after operation. We also looked into the respiration, blood circulation, nausea, vomiting and other abnormal events of the patients during the first 48 hours after operation. At the same time, we recorded the first time of anal exsufflation after operation and the degree of patients’ satisfaction. Results The analgesic effective rate was higher than 90% in both groups. There were no significant differences in analgesia and sedation scores at above-mentioned points after operation, incidence of nausea and vomiting, first time of anal exsufflation or analgesic effective rate between the two groups. Conclusion PCSA with fentanyl can be as effective in relieving postoperative pain as PCEA with fentanyl without obvious adverse effect in the gastrointestinal function. Therefore, PCSA is a safe and effective method to alleviate postoperative pain.