中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2014年
12期
36-37
,共2页
瑞芬太尼%丙泊酚%小儿麻醉%喉罩
瑞芬太尼%丙泊酚%小兒痳醉%喉罩
서분태니%병박분%소인마취%후조
remifentanil%protocol%pediatric anesthesia%laryngeal mask
目的：观察瑞芬太尼复合丙泊酚用于小儿喉罩通气中的麻醉效果及安全性。方法将2012年1月至10月期间收治的160例行麻醉喉罩通气患儿，随机分为试验组和对照组，各80例。记录患儿麻醉过程中血压和心率变化情况，记录术毕自主呼吸恢复时间、呼吸睁眼时间及拔出喉罩时间。结果两组患儿在置入喉罩前血压、心率均有所降低（ P ＜0.05），且均在正常范围内；试验组患儿的血液和心率与对照组相比，均有明显降低，差异具有统计学意义（ P ＜0.05）；患儿手术完毕后，试验组患儿的自主呼吸恢复时间、呼吸睁眼时间、拔出喉罩时间低于对照组，差异极显著（ P ＜0.01）。结论在小儿麻醉喉罩通气手术中，瑞芬太尼复合丙泊酚效果较好，镇痛完全，血流动力学稳定，自主恢复呼吸时间短，拔出喉罩时间短，是一种安全有效的麻醉方法，值得临床推广。
目的：觀察瑞芬太尼複閤丙泊酚用于小兒喉罩通氣中的痳醉效果及安全性。方法將2012年1月至10月期間收治的160例行痳醉喉罩通氣患兒，隨機分為試驗組和對照組，各80例。記錄患兒痳醉過程中血壓和心率變化情況，記錄術畢自主呼吸恢複時間、呼吸睜眼時間及拔齣喉罩時間。結果兩組患兒在置入喉罩前血壓、心率均有所降低（ P ＜0.05），且均在正常範圍內；試驗組患兒的血液和心率與對照組相比，均有明顯降低，差異具有統計學意義（ P ＜0.05）；患兒手術完畢後，試驗組患兒的自主呼吸恢複時間、呼吸睜眼時間、拔齣喉罩時間低于對照組，差異極顯著（ P ＜0.01）。結論在小兒痳醉喉罩通氣手術中，瑞芬太尼複閤丙泊酚效果較好，鎮痛完全，血流動力學穩定，自主恢複呼吸時間短，拔齣喉罩時間短，是一種安全有效的痳醉方法，值得臨床推廣。
목적：관찰서분태니복합병박분용우소인후조통기중적마취효과급안전성。방법장2012년1월지10월기간수치적160례행마취후조통기환인，수궤분위시험조화대조조，각80례。기록환인마취과정중혈압화심솔변화정황，기록술필자주호흡회복시간、호흡정안시간급발출후조시간。결과량조환인재치입후조전혈압、심솔균유소강저（ P ＜0.05），차균재정상범위내；시험조환인적혈액화심솔여대조조상비，균유명현강저，차이구유통계학의의（ P ＜0.05）；환인수술완필후，시험조환인적자주호흡회복시간、호흡정안시간、발출후조시간저우대조조，차이겁현저（ P ＜0.01）。결론재소인마취후조통기수술중，서분태니복합병박분효과교호，진통완전，혈류동역학은정，자주회복호흡시간단，발출후조시간단，시일충안전유효적마취방법，치득림상추엄。
Objective To investigate the anesthetic effect and safety of remifentanil and propofol in pediatric laryngeal mask airway (LMA). Methods 160 children with LMA anesthesia in our hospital from january to October 2012 were randomly divided into the ex-perimental group and the control group with 80 cases in each group. The experimental group was given remifentanil and propofol,while the control group was given Finland fentanyl and propofol. The changes of blood pressure and heart rate during the various anesthetic processes,spontaneous breathing recovery time,time of breathing eye opening and LMA extubation time were recorded. Results The blood pressure and heart rate before LMA intubation in the two groups were decreased( P < 0. 05),and were within the normal range;compared with the control group,the blood pressure and heart rate were significantly decreased,the difference was statistically significant ( P < 0. 05);the spontaneous breathing recovery time,breathing eye opening time and LMA extubation time at the end of operation in the experimental group were lower than those in the control group,the difference were extremely significant with statistical significance ( P < 0. 01). Conclusion In the operation with pediatric LMA anesthesia,remifentanil combined with protocol has better effect with complete analgesia,stable hemodynamics,short time of spontaneous breathing recovery and LMA extubation,is a safe effective anesthetic method and worth popularization and application in clinic.
