CAJ | 학술논문

目的介绍瑞芬太尼复合丙泊酚麻醉在小儿眼科手术中的优点.方法选择ASAⅠ～Ⅱ级、年龄2～13岁、择期行眼部手术的小儿50例,随机分为观察组和对照组.观察组瑞芬太尼、丙泊酚诱导和维持;对照组芬太尼、丙泊酚诱导,丙泊酚和异氟醚维持.观察两组病例围麻醉期血流动力学变化及气管拔管时间、苏醒时间,观察患儿拔管后呼吸困难、苏醒期躁动、术后恶心呕吐的发生率.结果两组患儿的SBP、DBP、HR在捕管后1 min、手术开始、拔管时、术中最高平均值、清醒时各时间点均有明显差异(P<0.05或P<0.01).观察组围麻醉期的血流动力学较对照组平稳,停药至气管拔管时间及苏醒时间较对照组明显缩短(P<0.05),术后苏醒躁动的发生率较对照组明显减少(P<0.05).结论瑞芬太尼复合丙泊酚全凭静脉麻醉是一种起效迅速、术中平稳、苏醒快速平顺,值得在小儿眼科手术中推广使用的麻醉方法.
목적 개소서분태니복합병박분마취재소인안과수술중적우점.방법 선택ASAⅠ～Ⅱ급、년령2～13세、택기행안부수술적소인50례,수궤분위관찰조화대조조.관찰조서분태니、병박분유도화유지;대조조분태니、병박분유도,병박분화이불미유지.관찰량조병례위마취기혈류동역학변화급기관발관시간、소성시간,관찰환인발관후호흡곤난、소성기조동、술후악심구토적발생솔.결과 량조환인적SBP、DBP、HR재포관후1 min、수술개시、발관시、술중최고평균치、청성시각시간점균유명현차이(P<0.05혹P<0.01).관찰조위마취기적혈류동역학교대조조평은,정약지기관발관시간급소성시간교대조조명현축단(P<0.05),술후소성조동적발생솔교대조조명현감소(P<0.05).결론 서분태니복합병박분전빙정맥마취시일충기효신속、술중평은、소성쾌속평순,치득재소인안과수술중추엄사용적마취방법.
Objective To introduce the advantages of remifentanil-propofol anaesthesia in ophthalmologic operation of children.Mathod A total of 50 cases of children with Ⅰ to Ⅱ degrees of ASA were randomly divided into two groups,i.e.the observation group and control group.These children,aged from 2 to 13 years,were prepared to be operated with selective ophthalmologic operation.The observation group was induced and maintained with remifentanil-propefol,while the control group was induced with remifentanil-propofol and maintained with propofol-isoflurane.The hemodynamics changes,extuhation time and analepsia time of the two groups during anesthesia period were observed;moreover,after extubation,the incidence rates of dyspnea,restlessness during analepsia period,nausea and vomiting after operation were also observed.Result The values of SBP,DBP and HR of the groups at 1min after intubation,the beginning of the surgery,extubation period,surgery period and regaining consciousness period were.signifi-candy different(P<0.05 or P<0.01).The hemodynamics of observation group during anesthesia period was more stable than that of control group;the time from withdrawal to extubation and analepsia of observation group Was obviously shorter than that of control group(P<0.05);after operation,the incidence rate of restlessness of observation group was less than that of control group(P<0.05).Conclusion Total intravenous anesthesia with remifentanil-propofol is a kind of anesthesia method with quick effect,good stability during operation,and quick and smooth reeovery of the patients.Therefore,this anaesthesia method is deserved to be recommended in the ophthalmologic operation of children.