摘要
目的:观察异丙酚复合瑞芬太尼静脉麻醉用于小儿扁桃体、腺样体摘除术的效果。方法:将小儿扁桃体和/或腺样体摘除术30例,随机分为氯胺酮组和瑞芬太尼组,每组15例,监测血流动力学指标,记录患儿麻醉恢复情况。结果:诱导给药后1分钟瑞芬太尼组MAP有所下降,与基础值和氯胺酮组相比P<0.05,HR两组相比差异无统计学意义。瑞芬太尼组吞咽恢复时间、睁眼时间、拔除气管导管时间明显小于氯胺酮组(P<0.05)。结论:异丙酚复合瑞芬太尼静脉麻醉应用于小儿扁桃体、腺样体摘除术是较为理想的麻醉方法。
Objective： To investigate the feasibility and clinical effect of anesthesia with remifentanil and propofol in children undergoing tonsillectomy and adenoidectomy. Methods： Thirty patients undergoing elective tonsillectomy and adenoidectomy were randomly divided into two groups： remifentanil-propofol group （n=15） and ketamine group （n =15）. Remifentanil-propofol group received induction and intravenous injection with remifentanil-propofol, and ketamine group received induction and intermittent infusion with ketamine before operation termination. MAP and HR were monitored continually and the time of swallowing recovery, eye opening, extubation were recorded. Results ： MAP was low in remifentanil-propofol group compared with baseline and ketamine group （P〈0.05） and HR was of no significant difference between the two group. The time of wallowing recovery, eye opening, extubation were shorter than those in ketamine group （P〈0.05）. Conclusion： Remifentanil-propofol can be applied safely in pediatric tonsillectomy and adenoidectomy.
出处
《安徽卫生职业技术学院学报》
2008年第4期39-40,共2页
Journal of Anhui Health Vocational & Technical College
