中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
9期
1166-1167
,共2页
瑞芬太尼%麻醉%上肢骨折
瑞芬太尼%痳醉%上肢骨摺
서분태니%마취%상지골절
Remifentanil%Anesthesia%Upper limb fracture
目的 研究瑞芬太尼联合神经阻滞用于患儿上肢骨折手术麻醉的可行性.方法 选择40例4～10岁的上肢骨折患儿,分为观察组和对照组.基础麻醉后行神经阻滞.观察组术中泵注瑞芬太尼辅助镇痛,初始剂量为0.05μg·kg-1·min-1,随后根据患儿的疼痛程度调整泵注剂量.对照组静注氯胺酮加强镇痛.手术结束前10 min静注曲马朵2 mg/kg.比较两组麻醉效果.结果 所有患儿顺利完成手术,术中元呼吸抑制等情况发生,观察组患儿苏醒时间[(14.0±4.8)min]明显比对照组[(30.4 4±10.3)min]短(t=6.588,P＜0.01),术后患儿无恶心、呕吐、烦躁等不良反应发生.结论 瑞芬太尼联合神经阻滞可安全使用于患儿短时手术麻醉,可缩短患儿苏醒时间.
目的 研究瑞芬太尼聯閤神經阻滯用于患兒上肢骨摺手術痳醉的可行性.方法 選擇40例4～10歲的上肢骨摺患兒,分為觀察組和對照組.基礎痳醉後行神經阻滯.觀察組術中泵註瑞芬太尼輔助鎮痛,初始劑量為0.05μg·kg-1·min-1,隨後根據患兒的疼痛程度調整泵註劑量.對照組靜註氯胺酮加彊鎮痛.手術結束前10 min靜註麯馬朵2 mg/kg.比較兩組痳醉效果.結果 所有患兒順利完成手術,術中元呼吸抑製等情況髮生,觀察組患兒囌醒時間[(14.0±4.8)min]明顯比對照組[(30.4 4±10.3)min]短(t=6.588,P＜0.01),術後患兒無噁心、嘔吐、煩躁等不良反應髮生.結論 瑞芬太尼聯閤神經阻滯可安全使用于患兒短時手術痳醉,可縮短患兒囌醒時間.
목적 연구서분태니연합신경조체용우환인상지골절수술마취적가행성.방법 선택40례4～10세적상지골절환인,분위관찰조화대조조.기출마취후행신경조체.관찰조술중빙주서분태니보조진통,초시제량위0.05μg·kg-1·min-1,수후근거환인적동통정도조정빙주제량.대조조정주록알동가강진통.수술결속전10 min정주곡마타2 mg/kg.비교량조마취효과.결과 소유환인순리완성수술,술중원호흡억제등정황발생,관찰조환인소성시간[(14.0±4.8)min]명현비대조조[(30.4 4±10.3)min]단(t=6.588,P＜0.01),술후환인무악심、구토、번조등불량반응발생.결론 서분태니연합신경조체가안전사용우환인단시수술마취,가축단환인소성시간.
Objective To study the application of remifentanil combined with brachial plexus block using in the operation of children with upper limb.Methods A total of 40 children,aged 4～10 years,undergoing arm-fracture operation,breathing oxygen with opening veil,were randomly divided into two groups.The children were administered basal anesthesia before brachial plexus block.During the operation,the study group(n=20)was infused remifentanil，the initial rate was 0.05μg·kg-1·min-1，and the control group was infused ketamine to reinforce the analgesia.Results All patients finished the surgery safely.In study group,children recovery time[(14.0±4.8)min]Was more quickly than that of control group[(30.4±10.3)min](t=6.5 88,P＜0.01).Conclusion Remifentanil could efficiently assistant brachial plexus block in the operation of children with upper limb.
