摘要
目的比较七氟醚静吸复合麻醉和瑞芬太尼复合丙泊酚复合麻醉用于小儿手术的效果。方法60例3-10岁择期手术患儿随机分为丙泊酚瑞芬太尼组（A组）与七氟醚静吸复合组（B组）。麻醉诱导后,A组持续输注瑞芬太尼复合丙泊酚维持麻醉,B组吸入七氟醚维持麻醉。术中根据生命体征调整丙泊酚瑞芬太尼输注速度及七氟醚吸入浓度,记录术中生命体征变化,术后麻醉恢复情况。结果与B组相比,A组术中收缩压（SAP）下降明显,差异有统计学意义（P〈0.05）。与A组相比,B组术中生命体征控制平稳,术毕清醒迅速、完全、平稳,两组拨管时间无明显差异。结论七氟醚静吸复合麻醉可安全有效地应用于小儿手术。
Objective To compare the clinical effects of Sevoflurane inhalation anesthesia and intravenous Propofol- Remifentanil anesthesia in pediatric surgery. Methods 60 patients at the age of 3 to 10 years old were randomly divided into propofol- remifentanil group（ group A） and sevoflurane group（ group B）. After induction of anesthesia, group A was given continuous infusion of propofol- remifentanil anesthesia to maintain narcotism while group B was given sevoflurane inhalaiton anesthesia to maintain narcotism. Intraoperative the infusion rate of propofol- remifentanil and the concentration of sevoflurane should be adjusted according to vital signs, and changes of vital signs and post- surgery anesthesia recovery.Results Compared with group B, SAP of patients in group A decreased significantly（ P〈0. 05）. Conclusion Compared with group A, patients＇ vital signs in group B were controlled in a more stable state with rapid, safe and stable post- anesthesia recovery; however, extubation time showed no significant difference.
出处
《医疗装备》
2016年第24期76-77,共2页
Medical Equipment
关键词
七氟醚
吸入麻醉
丙泊酚
瑞芬太尼
静脉麻醉
Sevoflurane
inhalation anesthesia
Propofol-Remifentanil
intravenous anesthesia
