七氟醚复合雷米芬太尼麻醉用于小儿腹股沟斜疝手术的观察

发布时间：2019-05-08 23:35

【摘要】：目的:观察七氟醚复合雷米芬太尼麻醉用于小儿腹股沟斜疝手术的临床效果。方法:选择行腹股沟斜疝手术患儿66例,将其随机分成试验组和对照组各33例。对照组患儿七氟醚复合芬太尼间断注射维持麻醉,试验组患儿给予七氟醚复合雷米芬太尼静脉微量泵输注麻醉,对两组患儿用药后的MAP、HR、RR、SPO2、术中肢体活动情况、咳嗽屏气、喉痉挛、支气管痉挛发生情况、患儿苏醒时间、术后躁动情况以及其他不良反应进行观察对比。结果:试验组患儿术中肢体活动和术后躁动发生情况显著少于对照组患者,且苏醒迅速,两者比较差异有统计学意义(P0.05)。两组患儿的Sp O2、咳嗽屏气、喉痉挛、支气管痉挛发生情况、术后呕吐等比较差异无统计学意义(P0.05)。结论:七氟醚复合雷米芬太尼麻醉用于小儿腹股沟斜疝手术,术中麻醉深度容易调控,麻醉平稳,术毕苏醒更加迅速,术后并发症少,麻醉效果较好。
[Abstract]:Objective: to observe the clinical effect of sevoflurane combined with remifentanil anesthesia in children with indirect inguinal hernia. Methods: 66 children with indirect inguinal hernia were randomly divided into two groups: test group (n = 33) and control group (n = 33). The control group received intermittent injection of sevoflurane and fentanyl to maintain anesthesia, and the experimental group received sevoflurane combined with remifentanil intravenous micropump infusion anesthesia. The limb activity during MAP,HR,RR,SPO2, operation in the two groups was observed. Cough breath holding, laryngospasm, bronchospasm, recovery time, postoperative restlessness and other adverse reactions were observed and compared. Results: the incidence of limb activity and postoperative restlessness in the experimental group was significantly lower than that in the control group, and the recovery rate was rapid. There was a significant difference between the two groups (P0.05). There was no significant difference in Sp O2, cough, breath holding, laryngospasm, bronchospasm and postoperative vomiting between the two groups (P0.05). Conclusion: sevoflurane combined with remifentanil anesthesia can be used in children with indirect inguinal hernia operation, the anesthesia depth is easy to control, anesthesia is stable, wake-up is more rapid after operation, and postoperative complications are less, and the anesthetic effect is better.
【作者单位】：广东省东莞三局医院麻醉科;
【分类号】：R726.1

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