瑞芬太尼在小儿外科麻醉中的效果评价

发布时间：2018-04-17 22:29

本文选题：瑞芬太尼 + 芬太尼　；参考：《临床医药文献电子杂志》2016年38期

【摘要】：目的研究瑞芬太尼在小儿外科麻醉中的应用效果。方法选取我院2014年2月~2015年2月儿科收治的行耳鼻喉手术的患儿60例作为研究对象,随机分为观察组和对照组,各30例,观察组采用瑞芬太尼诱导和维持麻醉,对照组采用芬太尼诱导和维持麻醉,观察两组患儿的血流动力学变化情况,麻醉效果、苏醒情况以及不良反应的出现情况。结果观察组患儿的血流动力学变化情况明显比对照组稳定,麻醉效果也相对较好,观察组患儿苏醒所需时间和不良反应的出现均显著少于对照组。结论瑞芬太尼在小儿外科麻醉中的效果良好,瑞芬太尼的使用使患儿术中血流动力学更加稳定,麻醉苏醒时间短,不良反应少,有着良好的麻醉效果,而且相对于芬太尼,瑞芬太尼在小儿外科手术中的麻醉效果和安全性都更佳。
[Abstract]:Objective to study the effect of remifentanil in pediatric surgery anesthesia.Methods from February 2014 to February 2015, 60 pediatric patients undergoing otolaryngectomy were randomly divided into two groups: the observation group (n = 30) and the control group (n = 30). Remifentanil was used to induce and maintain anesthesia in the observation group.In the control group, fentanyl was used to induce and maintain anesthesia. Hemodynamic changes, anaesthesia effect, recovery and adverse reactions were observed in the two groups.Results the hemodynamic changes in the observation group were more stable than those in the control group, and the anesthetic effect was relatively good. The time required for recovery and the appearance of adverse reactions in the observation group were significantly less than those in the control group.Conclusion remifentanil has a good effect in pediatric surgery anesthesia. Remifentanil can make the hemodynamics more stable, the recovery time of anesthesia is shorter, the adverse reaction is less, and it has good anaesthesia effect compared with fentanyl, and the effect of remifentanil is better than that of fentanyl.Remifentanil is more effective and safe in pediatric surgery.
【作者单位】：河北故城县医院麻醉科;
【分类号】：R726.1

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