摘要
目的:探讨单次短时七氟烷全身麻醉对0~3岁儿童术后早期智能发育的影响。方法:采用Gesell发育量表对200例0~3岁儿童进行麻醉前1d与麻醉后3个月发育情况的评测与对比;再分别选取与麻醉前1d和麻醉后3个月同龄的正常儿童各200例为对照组Ⅰ和对照组Ⅱ。结果:与麻醉前1d相比较,麻醉后3个月儿童的4个能区发育龄均有不同程度提高(P<0.001);麻醉前后各能区的发育商数(DQ)差异均无统计学意义(P>0.05)。与对照组同龄儿童比较,麻醉前1d及麻醉后3个月各能区DQ差异均无统计学意义(P>0.05)。结论:接受单次短时七氟烷全身麻醉对0~3岁儿童术后Gesell发育量表各指标没有明显影响,各能区随着年龄发育均正常。
Objective:To explore the effect of single short-term sevoflurane general anesthesia on earlypostoperative intelligence development in children aged0-3years.Methods:Gesell development scale was usedto evaluate the neurological development(DQ)of200children aged0to3years old1day preoperatively and3months after operation.Another200normal children in the same age range were selected respectively as controlgroup I and control group II which compared and contrasted with those in anesthesia group.Results:Comparedwith the DQ scores preoperative1day,the developmental age(motor,adaptive,verbal,social)of the four energyregions of children increased to varying degrees after3months of anesthesia(P<0.001).The difference of DQscores of four energy regions1day preoperatively and3months after operation was not statistically significant(P>0.05).There was no significant difference in DQ scores of four energy regions between anesthesia group andcontrol group(P>0.05).Conclusion:A single short-term sevoflurane general anesthesia has no significant effecton the postoperative DQ of Gesell development scales in children aged0-3years,and all energy regions are normaldevelopment with age.
作者
黄梦朦
南克
韩园
邵玲笑
胡梦洁
南洋
姬斌
林函
李军
HUANG Mengmeng;NAN Ke;HAN Yuan;SHAO Lingxiao;HU Mengjie;NAN Yang;JI Bin;LIN Han;LI Jun(Department of Anesthesiology and Perioperative Medicine, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, 325027)
出处
《温州医科大学学报》
CAS
2017年第9期670-673,共4页
Journal of Wenzhou Medical University
基金
浙江省医药卫生平台骨干项目(2012ZDA036)
关键词
麻醉
全身
GESELL发育量表
智能发育
anesthesia, general
Gesell development schedule
intelligence development
