摘要
目的:对比分析异丙酚及丙泊酚二者联合瑞芬太尼静脉麻醉对小儿手术的麻醉效果。方法:将2012年11月至2013年6月在我院进行手术的110例患儿作为研究对象,随机分为两组,观察组采用异丙酚联合瑞芬太尼静脉麻醉,对照组采用丙泊酚联合瑞芬太尼静脉麻醉。同时,比较两组患者麻醉效果、手术时间和患者恢复情况。结果:两组患儿在年龄、手术时间、性别和体重等方面相比,差异无统计学意义(P>0.05)。在麻醉效果方面,观察组麻醉良好率(ASAⅠ级)占比81.8%(45/55),而对照组麻醉良好率(ASAⅠ级)占比63.6%(35/55),差异有统计学意义(P<0.05);观察组与对照组相比,能够明显缩短手术时间,且VAS评分较低,差异有统计学意义(P<0.05)。结论:小儿手术麻醉中异丙酚联合瑞芬太尼静脉麻醉能够明显缩短手术时间,降低VAS评分,且麻醉效果较好,值得临床推荐。
Objective： Comparative analysis of anesthesia effect of diprivan and propofol intravenous combined with remifentanil for pediatric surgery anesthesia .Method： From November 2012 to June 2013 , 110 cases of children were randomly divided into two groups , the observation group was treated with remifen-tanil combined with diprivan , the control group was treated with propofol combined with remifentanil .Mean-while , the two groups were compared with anesthesia effect , surgery time and patient recovery condition .Re-sult：There＇s no significant difference age , operative time , aspects of sex and weight of two groups of chil-dren （P ＆gt;0.05）.In anesthesia, the observation group’s anesthesia good rate （ASA Ⅰ grade） accounted for 81.8%（45/55）, while the control group anesthesia good rate （ASA Ⅰ grade） accounted for 63.6%（35/55）, and the difference was significant （P 〈0.05）.It can significantly shorten the operation time and reduce VAS score in observation group , which was significantly different （ P 〈0.05） .Conclusion：In pediat-ric surgery , diprivan combined with remifentanil can shorten the operation time , reduce VAS score , and has good anesthesia effect .It is worthy to recommend .
出处
《河北医学》
CAS
2014年第6期934-937,共4页
Hebei Medicine
关键词
异丙酚
丙泊酚
瑞芬太尼
静脉麻醉
Diprivan
Propofol
Remifentanil
Intravenous anesthesia
