摘要
目的：探讨舒芬太尼复合七氟烷麻醉在小儿扁桃体切除术中的麻醉效果、术后麻醉恢复质量及其可行性。方法：选择择期进行扁桃体和腺样体切除术患儿40例,随机分为舒芬太尼组（S组）和瑞芬太尼组（R组）。S组以舒芬太尼0.2μg/kg快速诱导,手术开始前5min追加0.2μg/kg舒芬太尼,以2%~3%的七氟醚吸入术中维持。手术结束停用七氟醚。R组以瑞芬太尼2μg/kg快速诱导,以瑞芬太尼每小时6~10μg/kg复合丙泊酚每小时6~12mg/kg术中维持,手术结束时停用丙泊酚和瑞芬太尼。分别观察两组术中术后血流动力学指标及术后患儿镇痛镇静程度。结果：两组在术中血流动力学指标无明显差异（P〉0.05）。拔管后5min时S组MAP、HR较R组明显降低（P〈0.05）。Ramsay镇静评分S组高于R组（P〈0.05）且评分适宜,躁动评分S组低于R组且有显著差异（P〈0.05）,术后需要镇痛的比例S组明显低于R组（P〈0.05）。结论：舒芬太尼复合七氟烷麻醉在小儿扁桃体切除术中的麻醉效果和术后麻醉恢复质量方面具有优势因此具有可行性。
Objective：Discuss the anesthetic effect of sufentanil combined sevoflurane anesthesia on children undergoing tonsillectomy and the feasibility of postoperative quality of anesthesia.Methods：40 cases Elective for tonsillectomy and adenoidectomy in children were randomly divided into Sufentanil group（S group,n = 20） and remifentanil group（R group,n = 20）.S group was dealt with rapid induction of sufentanil 0.2μg/kg,Sufentanil added 0.2μg/kg before five minutes in the beginning of operation,and anesthesia was maintained with inhalation of 2% to 3% sevoflurane.R group dealt with rapid induction of remifentanil 2μg/kg,intraoperative anesthesia was maintained with remifentanil 6~10μg·kg-1·h-1 and propofol 6~12 mg·kg-1·h-1,which were topped at the end of surgery.Hemodynamics were observed in both groups in the intraoperative and postoperative.Results： The two groups in intraoperative hemodynamic tawe no significant differences（P 0.05）,S group of MAP,HR was significantly lower than R group（P 0.05） at 5 min after extubation.S group was higher than R group in Ramsay sedation score（P0.05） and Ratings appropriate,S group lower than R group and there are significant differences in Agitation score（P0.05） S group was significantly lower than R group in the ratio of postoperative analgesic（P0.05）.Conclusion：Anesthetic effect and the quality of anesthesia recovery after surgery have advantages and feasible of sufentanil combined sevoflurane anesthesia in children undergoing tonsillectomy.
出处
《牡丹江医学院学报》
2010年第5期8-11,共4页
Journal of Mudanjiang Medical University
关键词
扁桃体
腺样体
切除术
舒芬太尼
镇痛
镇静
恢复质量
Tonsil and adenoidectomy Sufentanil Analgesic Sedation Quality of Recovery
