瑞芬太尼联合七氟醚在小儿扁桃体切除手术中的麻醉效果研究

发布时间：2018-03-25 23:30

本文选题：瑞芬太尼　切入点：七氟醚　出处：《数理医药学杂志》2016年07期

【摘要】：目的:探讨瑞芬太尼联合七氟醚在小儿扁桃体切除手术中的临床麻醉效果。方法:选取2013年7月~2015年7月某院收治的60例行小儿扁桃体切除手术患儿,术中按麻醉方法不同分为观察组(30例,瑞芬太尼联合七氟醚麻醉)和对照组(30例,瑞芬太尼联合丙泊酚麻醉),对比两组患儿的麻醉效果及不良反应发生情况。结果:两组患儿T0时段的HR、DBP、SBP水平比较,差异无统计学意义(P0.05);观察组T1、T2、T3时段的HR、DBP、SBP水平均显著优于对照组,差异有统计学意义(P0.05);观察组恢复意识时间、不良反应发生率均显著低于对照组,差异有统计学意义(P0.05)。结论:在小儿扁桃体切除手术中应用瑞芬太尼联合七氟醚的麻醉效果确切,安全可靠,值得推广。
[Abstract]:Objective: To investigate the effects of remifentanil combined with sevoflurane in pediatric tonsillectomy surgery in clinical anesthesia. Methods: July 2013 ~2015 year in July in a hospital in 60 cases of pediatric tonsillectomy in children, according to the intraoperative anesthesia were divided into observation group (30 cases, fentanyl remifentanil combined with sevoflurane anesthesia) and control group (30 cases, remifentanil combined with propofol anesthesia), the incidence of anesthetic effects and adverse reactions of the two groups were compared. Results: the two groups of children with T0 HR DBP, SBP period, the level of comparison, the difference was not statistically significant (P0.05); the observation group T1, T2 T3, HR DBP, SBP time, were significantly better than the control group, the difference was statistically significant (P0.05); the observation group consciousness recovery time, the incidence of adverse reactions were significantly lower than the control group, the difference was statistically significant (P0.05). Conclusion: tonsillectomy in children with remifentanil combined with sevoflurane in surgery The effect of anaesthesia is accurate, safe and reliable, and it is worth popularizing.

【作者单位】：广东省佛山市第五人民医院;
【分类号】：R726.1

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