摘要
目的：探讨瑞芬太尼联合七氟烷复合麻醉方法对小儿全麻苏醒期躁动的效果。方法：择期行扁桃体切除术患儿60例,年龄4~7岁,ASAⅠ级,按病例资料中麻醉方法分为瑞芬太尼组和对照组,观察组给予瑞芬太尼泵注和吸入七氟烷复合麻醉;对照组给予吸入七氟烷全凭麻醉;记录两组手术时间、麻醉苏醒时间、躁动评分。结果：瑞芬太尼复合七氟烷组在患儿躁动评分比例、躁动例数及躁动时间大于15 min患儿例数明显低于对照组,差异有统计学意义（P〈0.05）;两组手术时间和麻醉苏醒时间差异无统计学意义（P〉0.05）。结论：瑞芬太尼复合七氟烷麻醉方法可以明显减少全麻苏醒期躁动,效果优于全凭七氟烷吸入。
Objective： To explore the effect of remifentanil combined with sevoflurane on pediatric anesthesia emergence delirium（ PAED）. Methods： Sixty children of tonsillectomy,aged 4 to 7 years old and grade ASA I,were randomly divided into experimental group（ remifentanil plus sevoflurane group） and control group（ sevoflurane group）,30 cases in each group. The operation time,the anesthesia recovery time and the agitation scores in two groups were recorded. Results： The agitation cases,agitation proportion and the cases whose agitation time was more than 15 min in remifentanil plus sevoflurane group was significantly less than the counterparts in control group（ P 0. 05）; There was no significant difference in operation time and anesthesia recovery time for two groups（ P 0. 05）.Conclusion： The anesthesia method of remifentanil combined with sevoflurane is better than sevoflurane anesthesia in children tonsillectomy surgery.
出处
《贵阳医学院学报》
CAS
2015年第3期313-315,共3页
Journal of Guiyang Medical College
关键词
瑞芬太尼
七氟烷
儿童
麻醉
苏醒期
躁动
remifentanil
sevoflurane
children
anesthesia
recovery period
agitation
