摘要
目的探讨小儿短小手术中使用瑞芬太尼复合异丙酚麻醉效果的好坏。方法将在我院进行短小手术的患儿80例按ASA状况分为ASAⅠ级组和ASAⅡ级组,分别在术中使用氯胺酮维持麻醉和使用瑞芬太尼复合异丙酚维持麻醉观察手术前后患儿MAP、HR、SpO2数值的变化及术后苏醒的时间和并发症发生率。结果Ⅰ组的MAP和HR的差值明显小于Ⅱ组(P<0.05),而手术前后两组的SpO2值并未有特别大的差异(P=0.06)。无论是在患儿的苏醒时间上还是并发症的发生率上,Ⅰ组明显少于Ⅱ组(P<0.05)。结论瑞芬太尼复合异丙酚不良反应发生率低,生命体征稳定,非常适合用于小儿短小手术的麻醉。
【Objective】To explore the short pediatric operation in the use of remifentanil combined with propofol anesthesia effect.【Methods】The children in our hospital done the short operation were divided into 80 cases in accordance,two groups use of ketamine anesthesia and the use of remifentanil combined with propofol anesthesia were observed before and after operation in children with MAP,HR,SpO2 numerical changes and postoperative awake anesthesia time and complication rate.【Resluts】GroupⅠ compareded with groupⅡMAP and HR value were much smaller（P＆lt;0.05）and the two groups of SpO2 has no difference（P=0.06）.In the children’s recovery time and complication rate groupⅠwas less than that on the groupⅡ（P＆lt;0.05）.【Conclusion】Remifentanil combined with propofol for clinical use.
出处
《中国医学工程》
2013年第3期30-30,32,共2页
China Medical Engineering
关键词
瑞芬太尼
小儿短小手术
麻醉
remifentanil
short pediatric anesthesia operation
anesthesia
