瑞芬太尼符合七氟醚用于小儿扁桃体麻醉的临床分析

发布时间：2018-03-24 02:14

本文选题：瑞芬太尼　切入点：七氟醚　出处：《世界最新医学信息文摘》2016年54期

【摘要】：目的观察瑞芬太尼联合七氟醚复合麻醉用于小儿扁桃体和腺样体切除时血流动力学变化和意识恢复的情况。方法 asmⅠ或Ⅱ级择期行扁桃体及腺体切除术的患儿88例,术前30min常规肌肉内注射阿托品0.01mg,根据麻醉深浅调整泵注速度及七氟醚吸入浓度,维持循环稳定。结果本组麻醉过程中各时点血压变化差异无显著性,但心率变化明显。本组未用血管活性药。停止麻醉药至患儿呼吸回复时间为(3.2±1.1)min,至患儿意识恢复时间为(6.5±3.3)min,至完全清醒,同时拔出气管时间为(11.6±8.1)min,术后无1例躁动哭闹,均能合作。术后发生剧烈疼痛6例,及中度疼痛20例,占29.5%;疼痛控制较满意,发生恶心呕吐5例,占5.7%。结论瑞芬太尼联合七氟醚复合麻醉在麻醉诱导、气管插管及术中各时点对心血管反应较小,血流动力学平稳,麻醉可控性强,术后意识恢复迅速,完善;术后恶心呕吐发生率低,能够很好地满足小儿扁桃体和腺体样体切除的要求,值得在小儿手术麻醉中推广应用。
[Abstract]:Objective to observe the hemodynamic changes and recovery of consciousness during tonsillectomy and adenoidectomy in children with remifentanil combined with sevoflurane anesthesia. Preoperative 30min routine intramuscular injection of atropine 0.01mg. the pump injection speed and sevoflurane inhalation concentration were adjusted according to the depth of anesthesia to maintain stable circulation. Results there was no significant difference in blood pressure at different time points during anesthesia. But the change of heart rate was obvious. No vasoactive drugs were used in this group. The time of respiratory recovery was 3.2 卤1.1 minutes, the recovery time of consciousness was 6.5 卤3.3 minutes, and the time of trachea extraction was 11.6 卤8.1 minutes. There was no restlessness and crying after operation, and the recovery time of consciousness was 6.5 卤3.3 minutes, and the time of trachea extraction was 11.6 卤8.1 minutes. There were 6 cases of severe pain, 20 cases of moderate pain, 5 cases of nausea and vomiting, 5 cases of nausea and vomiting, and 5 cases of nausea and vomiting. Conclusion remifentanil combined with sevoflurane combined anesthesia can induce anesthesia. Endotracheal intubation and each time point in operation had less cardiovascular response, stable hemodynamics, strong controllable anesthesia, rapid recovery of consciousness after operation, low incidence of nausea and vomiting, low incidence of postoperative nausea and vomiting, low incidence of nausea and vomiting, and low incidence of nausea and vomiting. It can satisfy the requirement of tonsillectomy and adenoid resection in children, and is worth popularizing in children's operation anesthesia.
【作者单位】：山东省新泰市人民医院手术麻醉科;
【分类号】：R726.1

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