摘要
目的通过对比丙泊酚联合舒芬太尼与单纯丙泊酚应用于小儿食道异物取出术的麻醉效果,探讨丙泊酚联合舒芬太尼麻醉方案的优势。方法将从2009年2月～2009年6月入住我院接受手术的70例食道异物患儿随机平均分为实验组和对照组。两组均行表面麻醉,实验组行丙泊酚联合舒芬太尼麻醉,对照组行单纯丙泊酚麻醉。观察对比两组患儿MAP、HR、SpO2,用药剂量,不良反应,意识消失,恢复以及定向力恢复时间。结果实验组MAP、HR显著低于对照组(P<0.05),意识消失,恢复时间,定向力恢复时间,以及用药剂量和不良反应也显著少于对照组(P<0.05)。结论丙泊酚联合舒芬太尼用药剂量小,不良反应少,麻醉效果强,是一种值得在临床上推广和应用的麻醉方案。
Objective Through comparing the anaesthetic effect of the combination propofol with sufentanil and the simple propofol applied in the operation of removal of esophagus foreign body, to discuss the advantage of the combination anesthesia scheme. Methods 70 cases of children with operation of removal of esophagus foreign body in hospital for treatment from February 2009 to June 2009 were randomly divided into the experimental group and the control group on average. Both groups were treated with surface anaesthetic at first, then the experimental group was applied with combination anesthesia scheme, and the control group was applied with simple anesthesia scheme. HR, SpO2, MAP, dosage, adverse reactions, the consciousness vanished and recovered time, the directional forces recovered time in two groups were compared and observed. Results All of the index observed in two groups except SpO2 showed significant differences （P〈0.05）, the competitive clinical effect of experimental group was significantly higher than control group （P〈0.05）.Conclusion the combination anesthesia scheme needs lesser sufentanil dose-dependence, and shows smaller adverse effects and stronger anaesthetic effect, so it is a anesthesia scheme deserved popularizing and applying in clinical work.
出处
《当代医学》
2010年第9期48-49,共2页
Contemporary Medicine
关键词
食道异物取出术
丙泊酚
舒芬太尼
Operation of removal of esophagus foreign body
Propofol
Sufentanil
