摘要
目的比较丙泊酚联合瑞芬太尼与丙泊酚联合七氟烷在小儿外科麻醉中的效果。方法选取我院2014年9月～2016年11月收治的118例外科手术患儿作为研究对象,按照随机抽签法分为观察组(59例)与对照组(59例)。观察组采用丙泊酚联合瑞芬太尼进行麻醉,对照组采用丙泊酚联合七氟烷进行麻醉。比较两组患儿术中和术后的麻醉效果。结果观察组患儿的麻醉诱导时间、呼吸恢复时间、拔管时间及呼之睁眼时间均短于对照组,差异有统计学意义(P<0.05)。观察组患儿的不良反应总发生率为11.86%,低于对照组的27.12%,差异有统计学意义(P<0.05)。结论在小儿外科手术麻醉中,丙泊酚联合瑞芬太尼具有良好的应用效果,值得推广应用。
Objective To compare the effects of Propofol combined with Remifentanil and Propofol combined with Sevoflurane in pediatric anesthesia.Methods A total of 118 patients who had taken the surgical treatment in our hospital from September 2014 to November 2016 were selected and divided into the observation group(59 cases)and the control group(59 cases).The observation group was anesthetized by Propofol combined with Remifentanyl,and the control group was anesthetized by Propofol combined with Sevoflurane.The anesthesia effects was compared between the two groups.Results After the surgery,the anesthesia induction time,the breathing recovery time,extubation time and the consciousness recovery time in the observation group were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was 11.86%,which was lower than 27.12%in the control group,and the difference was statistically significant(P<0.05).Conclusion In pediatric surgical anesthesia,Propofol combined with Remifentanil has a good anesthetic effect and is worthy of popularization and application.
作者
张孝华
ZHANG Xiao-hua(Department of Anesthesia,Hospital of Traditional Chinese Medicine of Maoming City in Guangdong Province,Maoming 525000,China)
出处
《中国当代医药》
2019年第3期58-60,共3页
China Modern Medicine
关键词
丙泊酚
七氟烷
瑞芬太尼
小儿外科麻醉
Propofol
Sevoflurane
Remifentanil
Pediatric surgical anesthesia
