摘要
目的通过与七氟醚、瑞芬太尼静吸复合麻醉对比,探讨丙泊酚TCI复合瑞芬太尼用于小儿扁桃体摘除术中的安全性和有效性。方法30例全麻下行扁桃体摘除术的小儿,ASAⅠ、Ⅱ级,随机分为两组:丙泊酚TCI组(P组,n=15)和七氟醚吸入麻醉组(S组,n=15)。P组采用效应室靶控输注,异丙酚靶浓度为4μg/mL;S组吸入2.5%七氟醚。观察麻醉诱导、气管插管以及手术开始时的血流动力学改变;观察术毕停药后拔管时间、拔管后10min的意识状态以及苏醒期躁动、术后恶心呕吐的发生情况。结果P组麻醉诱导时的最低平均动脉压(MBP)低于S组(P<0.05),插管反应发生较少;S组在手术开始后最高MBP高于P组,但差异无显著性(P>0.05);两组术毕拔管时间差异无显著性(P>0.05);两组患儿术后恶心呕吐、躁动的发生率都较低,但P组患儿拔管后10min的OAAS评分高于S组。结论丙泊酚靶控输注复合瑞芬太尼用于小儿扁桃体摘除术是一种安全、有效的麻醉方法,与七氟醚、瑞芬太尼静吸复合麻醉比较,术中血流动力学平稳、苏醒质量较好。
Objective To compare with Sevoflurane anesthesia and explore the safety and effectivity of intravenous anesthesia with target-controlled infusion of Propofol and intravenous Infusion of Remifentanil in tonsillectomy of children.Methods 30 ASA Ⅰ～Ⅱ children undergoing elective tonsillectomy were randomly divided into two groups:Group P received intravenous anesthesia with target-controlled infusion of Propofol and Propofol were set at 4 μg/mL(n=15), Group S received Sevoflurane anesthesia(n =15).The hemodynam...
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2008年第20期3008-3010,共3页
China Journal of Modern Medicine
关键词
靶控输注
丙泊酚
七氟醚
扁桃体摘除术
儿童
target-controlled infusion
Propofol
Sevoflurane
tonsillectomy
children
