快通道麻醉与常规麻醉应用于小儿先天性心脏病手术的对比研究

发布时间：2018-01-02 02:02

本文关键词：快通道麻醉与常规麻醉应用于小儿先天性心脏病手术的对比研究　出处：《医学综述》2012年06期 　论文类型：期刊论文

【摘要】：目的通过快通道麻醉与常规麻醉比较,为先天性心脏病(先心病)患儿麻醉法的选择提供依据。方法回顾性分析2008年1月至2010年12月我院住院病例中72例快通道麻醉(手术室内拔管)和同期75例常规麻醉(手术室外拔管)先心病患儿的情况,分析比较两组患儿一般情况、麻醉方法、术后转归等方面的差异。结果快通道组患儿年龄及体质量均大于常规组患儿,常规组术前并发症多于快通道组,两组比较差异有统计学意义(P0.05);芬太尼使用剂量在常规组术中较大,而瑞芬太尼则多应用于快通道麻醉组;术后快通道组早拔管相关并发症发生例数较少;两组患儿术后进食时间及出院时间比较差异有统计学意义(P0.05)。结论无严重肝肾功能疾患的先心病患儿实施快通道麻醉是安全可行的,并且快通道麻醉可明显减少患儿术后并发症,缩短出院时间,提高医疗资源利用率。
[Abstract]:The purpose of anesthesia compared with the conventional fast through the channel, congenital heart disease (CHD) provide the basis for the anesthesia method. Methods a retrospective analysis from January 2008 to December 2010 in our hospital 72 cases of fast track anesthesia (operation room extubation) and 75 cases of routine anesthesia (operation room extubation) first the children with congenital heart disease, anesthesia method analysis and comparison of two groups of children in general, and postoperative outcome differences. The fast track group with age and body weight were higher than normal group, normal group before surgery more complications than the fast track group, there was significant difference between two groups (P0.05); the use of large doses of fentanyl in the conventional group, and remifentanil is used to fast channel anesthesia group; postoperative fast track group extubation complication of few cases; eating time were two groups after operation and hospital time difference Statistical significance (P0.05). Conclusion fast track anesthesia is safe and feasible for children with congenital heart disease without severe liver and renal function disorders, and fast track anesthesia can significantly reduce postoperative complications, shorten discharge time and improve the utilization of medical resources.

【作者单位】：鄂尔多斯市中心医院麻醉科;
【分类号】：R726.1
【正文快照】： 心脏快通道麻醉是选择合适的麻醉方法和药物,争取使患者手术结束后即刻拔管或尽早拔管(术后6 h内),减少重症监护治疗病房逗留时间及住院天数,最终降低医疗费用的目的[1]。实施早期拔管,麻醉处理是关键。快通道麻醉的基本原则为既要维持足够麻醉深度,保证血流动力学稳定,又要

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