摘要
目的观察异丙酚、复合芬太尼用于小儿气管异物取出术的麻醉效果。方法对60例气管异物取出术的患儿随机分为两组,Ⅰ组γ-羟基丁酸钠复合氯胺酮;Ⅱ组异丙酚复合芬太尼。每组30例,分别观察两组患儿术中血压(Bp)、心率(HR)、血氧饱和度(SpO2)的变化,以及手术时间、苏醒时间、术中喉痉挛和术后恶心、呕吐发生率。结果异丙酚复合芬太尼组术中Bp、HR、SpO2的变化小(P<0.05),术中未发生喉痉挛,术后恶心、呕吐发生率低,苏醒时间短(P<0.05)。结论异丙酚复合芬太尼用于小儿气管异物取出术是一种更安全、有效的麻醉方法。
Objective To observe narcosis effect of propofol combined fentanyl used to children foreign body trachea extraction. Methods Divide 60 children into two groups at random. Ⅰ group, with sodium gamma - hydroxybutyrate combined ketemine; Ⅱ group, with propofol combined fentanyl ; every group is 30 cases. Respectively observe two groups Bp,HR ,SpO2 change in operation, operation time, revival time and incidence of laryngospasm in operation and nausea or vomiting after operation. Results In the group with combined fentanyl, changes of Bp, HR,SpO： are little （ P 〈 0. 05 ）, laryngospasm did not happen in operation, incidence of nausea or vomiting after operation is low and the time before revival is short（ P 〈 0. 05 ）. Conclusion The method of propofol combined fentanyl used in children foreign body trachea extraction is more safe and effect.
出处
《医药论坛杂志》
2006年第8期23-24,共2页
Journal of Medical Forum
关键词
气管异物
异丙酚
芬太尼
小儿
Foreign body in trachea
Propofol
Fentanyl
Children
