中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
1期
33-34
,共2页
快通道麻醉%常规麻醉%先天性心脏病%雷米芬太尼
快通道痳醉%常規痳醉%先天性心髒病%雷米芬太尼
쾌통도마취%상규마취%선천성심장병%뢰미분태니
Fast-track anesthesia%General anesthesia%Congenital heart disease%Remifentanil
目的：观察快通道麻醉应用于小儿先天性心脏病手术的临床效果。方法将70例小儿先天性心脏病手术治疗的患儿随机分为快通道麻醉组(观察组)和常规麻醉组(对照组)各35例,比较两组的术后相关指标。结果观察组术后应用1种以上镇静药物的应用人数明显低于对照组(χ2=48.62, P=0.041)；两组术后直接回病房患者的比例明显高于对照组(χ2=60.87, P=0.004)；观察组住院时间、术后进食时间、住院费用及并发症发生率均明显低于对照组,差异有统计学意义(t=2.314, P=0.037；t=2.438, P=0.020；t=4.354, P=0.003；χ2=53.89, P=0.026)。结论雷米芬太尼快通道麻醉用于小儿先天性心脏病手术麻醉,可减少术后镇痛药用量、缩短ICU停留时间和住院时间、减少术后并发症,麻醉效果值得肯定。
目的：觀察快通道痳醉應用于小兒先天性心髒病手術的臨床效果。方法將70例小兒先天性心髒病手術治療的患兒隨機分為快通道痳醉組(觀察組)和常規痳醉組(對照組)各35例,比較兩組的術後相關指標。結果觀察組術後應用1種以上鎮靜藥物的應用人數明顯低于對照組(χ2=48.62, P=0.041)；兩組術後直接迴病房患者的比例明顯高于對照組(χ2=60.87, P=0.004)；觀察組住院時間、術後進食時間、住院費用及併髮癥髮生率均明顯低于對照組,差異有統計學意義(t=2.314, P=0.037；t=2.438, P=0.020；t=4.354, P=0.003；χ2=53.89, P=0.026)。結論雷米芬太尼快通道痳醉用于小兒先天性心髒病手術痳醉,可減少術後鎮痛藥用量、縮短ICU停留時間和住院時間、減少術後併髮癥,痳醉效果值得肯定。
목적：관찰쾌통도마취응용우소인선천성심장병수술적림상효과。방법장70례소인선천성심장병수술치료적환인수궤분위쾌통도마취조(관찰조)화상규마취조(대조조)각35례,비교량조적술후상관지표。결과관찰조술후응용1충이상진정약물적응용인수명현저우대조조(χ2=48.62, P=0.041)；량조술후직접회병방환자적비례명현고우대조조(χ2=60.87, P=0.004)；관찰조주원시간、술후진식시간、주원비용급병발증발생솔균명현저우대조조,차이유통계학의의(t=2.314, P=0.037；t=2.438, P=0.020；t=4.354, P=0.003；χ2=53.89, P=0.026)。결론뢰미분태니쾌통도마취용우소인선천성심장병수술마취,가감소술후진통약용량、축단ICU정류시간화주원시간、감소술후병발증,마취효과치득긍정。
Objective To observe the clinical efficacy of fast-track anesthesia in surgery of congenital heart disease. Methods 70 cases child admitted to the surgical treatment of congenital heart disease were randomly divided into fast-track anesthesia group(observation group) and general anesthesia group (control group),anesthesia-related indications of the two method were compared. Results Fewer patients in observation group used more than one kind of sedative after the operation(χ2=48.62, P=0.041), more patients in observation group left ICU as soon as the surgery finished than in control group(χ2=60.87, P=0.004). The post-operative feeding time, length of hospital stay were significantly shorter in the observation group than in the control group(P<0.05). The medical costs were significantly less in the observation group than in the control group(t=2.314, P=0.037;t=2.438, P=0.020;t=4.354, P=0.003;χ2=53.89, P=0.026). Conclusion Fast-track anesthesia in children with congenital heart surgery can reduce the patient recovery time and reduce postoperative pulmonary complications.
