CAJ | 학술논문

目的探讨七氟醚+舒芬太尼+丙泊酚+阿曲库铵并高频射通(HFJV)在小儿气管异物取出术中的效果及安全性.方法 30例小儿气管异物取出术随机分为七氟醚+舒芬太尼+丙泊酚+阿曲库铵麻醉组(A组)和氯胺酮+瑞芬太尼+丙泊酚+阿曲库铵(B组),每组15例.比较两组患儿手术时间、苏醒时间、术中术后并发症及置镜容易度.结果 A组手术时间明显短于B组(P＜0.05),B组苏醒时间短于A组(P＞0.05),A组置镜容易度优于B组(P＜0.05),A组苏醒期不良反应发生率明显少于B组(P＜0.05).结论小儿气管异物取出术应用七氟醚+舒芬太尼+丙泊酚+阿曲库铵麻醉效果及复苏质量优于氯胺酮+瑞芬太尼+丙泊酚+阿曲库铵静脉麻醉.
목적 탐토칠불미+서분태니+병박분+아곡고안병고빈사통(HFJV)재소인기관이물취출술중적효과급안전성.방법 30례소인기관이물취출술수궤분위칠불미+서분태니+병박분+아곡고안마취조(A조)화록알동+서분태니+병박분+아곡고안(B조),매조15례.비교량조환인수술시간、소성시간、술중술후병발증급치경용역도.결과 A조수술시간명현단우B조(P＜0.05),B조소성시간단우A조(P＞0.05),A조치경용역도우우B조(P＜0.05),A조소성기불량반응발생솔명현소우B조(P＜0.05).결론 소인기관이물취출술응용칠불미+서분태니+병박분+아곡고안마취효과급복소질량우우록알동+서분태니+병박분+아곡고안정맥마취.
Objective To investigate the efficacy and safety of sevoflurane + sufentanil + propofol + atracurium and high-frequency radio-pass (HFJV) on pediatric tracheal foreign body removal surgery.Methods Thirty cases of pediatric tracheal foreign body removal surgery were randomly divided into sevoflurane + sufentanil + propofol + atracurium anesthesia group (group A) and ketamine + remifentanil +propofol +atracurium group(group B),15 cases in each group.To compare operative time,recovery time,postoperative complications and set mirror ease between the two groups.Results Operative time in group A was significantly shorter than in group B (P ＜ 0.05),group B regained consciousness time was shorter than that in group A (P ＞ 0.05),group A set mirror easily than group B (P ＜ 0.05).Incidence of adverse reactions of group A in wake period was significantly less compared with group B (P ＜ 0.05).Conclusions Anesthetic effect and recovery quality of pediatric tracheobronchial foreign body removal surgery use sevoflurane + sufentanil + propofol + atracurium ammonium is better than ketamine + remifentanil + propofol + atracurium intravenous anesthesia.