摘要
目的对比观察在小儿全身麻醉中应用瑞芬太尼的临床效果。方法将76例全身麻醉手术患儿随机分为两组,各38例,均行复合诱导麻醉。观察组使用瑞芬太尼,对照组使用芬太尼,分别进行全身麻醉,对比观察两组临床麻醉效果。结果观察组患儿气管插管后及术中心率(HR)、收缩压(SBP)、舒张压(DBP)等血流动力学指标均优于对照组(P<0.05或P<0.01);观察组恢复自主呼吸、清醒及气管拔管时间均短于对照组(P<0.01);两组恶心、呕吐、眩晕、寒战、躁动等不良反应发生率无统计学差异(P>0.05)。结论在小儿全身麻醉中使用瑞芬太尼具有更为理想的麻醉效果,对患儿机体影响较小,并能有效缩短术后清醒与恢复时间。
Objective To observe the clinical effect of remifentanil in pediatric general anesthesia. Methods Seventy-six cases general anesthesia operation were chosen and randomly divided into the observation group and control group,each group includes 38 cases. Both groups exert the composite induction of anesthesia,at the same time. The observation group using remifentanil,the control group using fentanyl to do the general anesthesia respectively,compare the clinical effect of the two groups. Results The experimental group during tracheal intubation at the beginning after operation,heart rate,blood pressure and hemodynamics indexes were better than the control group（ P〈0. 05 or P〈0. 01）. The experimental group resumed spontaneous breathing time,awake time,extubation time was less than that of the control group（ P〈0. 01）. The two groups vomiting,dizziness,chills,agitation and other adverse reaction rate showed no significant difference（ P〉0. 05）. Conclusion The use of remifentanil in pediatric general anesthesia has more satisfactory analgesic effect,and less influence on child＇s body,shorten the time of postoperative recovery and recovery time.
出处
《白求恩医学杂志》
2014年第5期437-438,共2页
Journal of Bethune Medical Science
关键词
全身麻醉
瑞芬太尼
小儿
General anesthesia
Remifentanil
Children
