摘要
目的研究小儿腺样体扁桃体切除术中瑞芬太尼临床麻醉效果。方法抽取2015年4月—2018年4月期间我院接收并采用小儿腺样体扁桃体切除术治疗的患儿120例为研究对象,平均分为常规组和试验组,常规组采用芬太尼进行麻醉,试验组采用瑞芬太尼进行麻醉,对比2组患儿不同麻醉的临床效果。结果试验组患儿插管后、拔管时心率值,均明显低于常规组(P <0.05);试验组患儿呼吸恢复时间、睁眼时间和拔管时间,均明显低于常规组(P <0.05)。结论相比芬太尼麻醉而言,小儿腺样体扁桃体切除术中瑞芬太尼临床麻醉效果更加显著,对血流动力学的影响较小,可推广应用。
Objective To study the clinical anesthetic effect of remifentanil in adenoid tonsillectomy in children.Methods 120 children who underwent adenoidectomy in our hospital from April 2015 to April 2018 were divided into two groups:the conventional group and the experimental group.The conventional group was anesthetized with fentanyl and the experimental group was anesthetized with remifentanil.Results The heart rate of the experimental group was significantly lower than that of the conventional group after intubation and extubation(P<0.05);the recovery time of breathing,opening time and extubation time of the experimental group were significantly lower than those of the conventional group(P<0.05);Conclusion Compared with fentanyl anesthesia,remifentanil anesthesia in adenoid tonsillectomy in children was more effective than fentanyl anesthesia.The intoxication effect is more significant,and has less influence on hemodynamics,so it can be widely applied.
作者
杜小宜
郑荃菁
王长贺
涂刚
DU Xiaoyi;ZHENG Quanjing;WANG Changhe;TU Gang(Department of Anesthesiology,Second People's Hospital of Three Gorges University,Yichang Hubei,443000,China)
出处
《中国继续医学教育》
2019年第4期82-84,共3页
China Continuing Medical Education
