贵阳医学院学报
貴暘醫學院學報
귀양의학원학보
JOURNAL OF GUIYANG MEDICAL COLLEGE
2015年
3期
313-315
,共3页
瑞芬太尼%七氟烷%儿童%麻醉%苏醒期%躁动
瑞芬太尼%七氟烷%兒童%痳醉%囌醒期%躁動
서분태니%칠불완%인동%마취%소성기%조동
remifentanil%sevoflurane%children%anesthesia%recovery period%agitation
目的：探讨瑞芬太尼联合七氟烷复合麻醉方法对小儿全麻苏醒期躁动的效果。方法：择期行扁桃体切除术患儿60例，年龄4~7岁，ASAⅠ级，按病例资料中麻醉方法分为瑞芬太尼组和对照组，观察组给予瑞芬太尼泵注和吸入七氟烷复合麻醉；对照组给予吸入七氟烷全凭麻醉；记录两组手术时间、麻醉苏醒时间、躁动评分。结果：瑞芬太尼复合七氟烷组在患儿躁动评分比例、躁动例数及躁动时间大于15 min患儿例数明显低于对照组，差异有统计学意义（P<0.05）；两组手术时间和麻醉苏醒时间差异无统计学意义（P>0.05）。结论：瑞芬太尼复合七氟烷麻醉方法可以明显减少全麻苏醒期躁动，效果优于全凭七氟烷吸入。
目的：探討瑞芬太尼聯閤七氟烷複閤痳醉方法對小兒全痳囌醒期躁動的效果。方法：擇期行扁桃體切除術患兒60例，年齡4~7歲，ASAⅠ級，按病例資料中痳醉方法分為瑞芬太尼組和對照組，觀察組給予瑞芬太尼泵註和吸入七氟烷複閤痳醉；對照組給予吸入七氟烷全憑痳醉；記錄兩組手術時間、痳醉囌醒時間、躁動評分。結果：瑞芬太尼複閤七氟烷組在患兒躁動評分比例、躁動例數及躁動時間大于15 min患兒例數明顯低于對照組，差異有統計學意義（P<0.05）；兩組手術時間和痳醉囌醒時間差異無統計學意義（P>0.05）。結論：瑞芬太尼複閤七氟烷痳醉方法可以明顯減少全痳囌醒期躁動，效果優于全憑七氟烷吸入。
목적：탐토서분태니연합칠불완복합마취방법대소인전마소성기조동적효과。방법：택기행편도체절제술환인60례，년령4~7세，ASAⅠ급，안병례자료중마취방법분위서분태니조화대조조，관찰조급여서분태니빙주화흡입칠불완복합마취；대조조급여흡입칠불완전빙마취；기록량조수술시간、마취소성시간、조동평분。결과：서분태니복합칠불완조재환인조동평분비례、조동례수급조동시간대우15 min환인례수명현저우대조조，차이유통계학의의（P<0.05）；량조수술시간화마취소성시간차이무통계학의의（P>0.05）。결론：서분태니복합칠불완마취방법가이명현감소전마소성기조동，효과우우전빙칠불완흡입。
Objective:To explore the effect of remifentanil combined with sevoflurane on pediatric anesthesia emergence delirium( PAED). Methods:Sixty children of tonsillectomy,aged 4 to 7 years old and grade ASA I,were randomly divided into experimental group( remifentanil plus sevoflurane group)and control group( sevoflurane group),30 cases in each group. The operation time,the anes-thesia recovery time and the agitation scores in two groups were recorded. Results:The agitation ca-ses,agitation proportion and the cases whose agitation time was more than 15 min in remifentanil plus sevoflurane group was significantly less than the counterparts in control group( P<0 . 05 );There was no significant difference in operation time and anesthesia recovery time for two groups( P >0 . 05 ). Conclusion:The anesthesia method of remifentanil combined with sevoflurane is better than sevoflu-rane anesthesia in children tonsillectomy surgery.
