CAJ | 학술논문

目的：比较顺式阿曲库铵与琥珀胆碱用于患儿气管异物取出术的效果。方法择期气管异物取出术患儿40例，随机分为两组，每组20例。C 组诱导时给予顺式阿曲库铵0.2 mg／kg，S组给予琥珀胆碱2 mg／kg；C 组静注顺式阿曲库铵0.05 mg／kg 维持肌松，S 组静注琥珀胆碱0.4 mg／kg。记录支气管镜置入条件评分、肌松药追加次数、气管导管拔除时间及术后24 h 肌肉酸痛发生率。结果两组患儿支气管镜置入条件差异无统计学意义。C 组无一例追加肌松药，S 组所有患儿均需追加肌松药（P＜0.01）。气管导管拔除时间 C 组明显长于 S 组（P＜0.05）。S 组所有患儿均有肌肉酸痛发生，C 组无一例肌肉酸痛发生（P＜0.01）。结论患儿气管异物取出术中顺式阿曲库铵及琥珀胆碱均可提供良好的肌松效果，但前者拔管时间延长，后者术后肌肉酸痛较多。
목적：비교순식아곡고안여호박담감용우환인기관이물취출술적효과。방법택기기관이물취출술환인40례，수궤분위량조，매조20례。C 조유도시급여순식아곡고안0.2 mg／kg，S조급여호박담감2 mg／kg；C 조정주순식아곡고안0.05 mg／kg 유지기송，S 조정주호박담감0.4 mg／kg。기록지기관경치입조건평분、기송약추가차수、기관도관발제시간급술후24 h 기육산통발생솔。결과량조환인지기관경치입조건차이무통계학의의。C 조무일례추가기송약，S 조소유환인균수추가기송약（P＜0.01）。기관도관발제시간 C 조명현장우 S 조（P＜0.05）。S 조소유환인균유기육산통발생，C 조무일례기육산통발생（P＜0.01）。결론환인기관이물취출술중순식아곡고안급호박담감균가제공량호적기송효과，단전자발관시간연장，후자술후기육산통교다。
Objective To compare the muscular relaxation effect and side effects of Cisatracuri-um and Succinylcholine for children on tracheal foreign body removal.Methods Forty ASA Ⅰ pediat-ric patients,undergoing electivetracheal foreign body removal,were randomly divided into two groups:group C,received cisatracurium 0.2 mg/kg for induction,0.05 mg/kg for maintenance,n=20;group S,received succinycholine 2 mg/kg for induction,0.4 mg/kg for maintenance,n=20.All patients were performed with controlled ventilation assisted by high-frequency jet ventilation (HFJV).We recorded bronchoscope condition,muscle relaxant supplements,extubation time and the incidence of muscle soreness in postoperative 24 h.Results There was no significant difference in bronchoscope condition between these two groups.The extubation time were significantly longer in group C than in group S (P<0.05).The incidence of muscle soreness in postoperative 24 h were sig-nificantly higher after the operation in group S than that in group C (P<0.01).All patients in group S needed muscle relaxant supplements,but none in group C (P <0.01).Conclusion Both Cisatra-curium and succinylcholine can provide good muscle relaxation effect on tracheal foreign body remov-al,but cisatracurium prolong the extubation time,and succinylcholine increase the incidence of muscle soreness.