医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
17期
47-47
,共1页
瑞芬太尼%七氟醚%婴儿%肝功能障碍
瑞芬太尼%七氟醚%嬰兒%肝功能障礙
서분태니%칠불미%영인%간공능장애
Remifentanil%Sevoflurane%Infant%Liver dysfunction
目的探讨瑞芬太尼复合七氟醚在肝功能障碍婴儿手术中的应用。方法婴儿先天性胆总管囊肿手术40例，随机分为两组，瑞芬太尼复合七氟醚维持麻醉组(R组)和单纯七氟醚维持麻醉组(S组)。记录诱导前(T0)、切皮前(T1)、切皮后10 min(T2)、手术开始60 min(T3)、缝皮(T4)时的MAP、HR、CETSev。记录手术时间、呼吸恢复时间、拔管时间、Aldrete评分达10分时的清醒时间。结果 T1~T4时R组、T1~T3时S组HR、MAP明显低于T0时(<0.05)；T2~T4时R组HR、MAP明显低于S组(<0.05)；T2~T4时R组CETSev均明显低于S组(<0.05)。R组与S组手术时间无明显差别(>0.05)；R组呼吸恢复时间、拔管时间、Aldrete评分达10分时的清醒时间均明显低于S组(<0.05)。结论在肝功能障碍婴儿手术中使用瑞芬太尼复合七氟醚维持麻醉，术中麻醉效果好、循环稳定，且患儿术后苏醒迅速。因此瑞芬太尼复合七氟醚适用于肝功能障碍的婴儿的麻醉维持。
目的探討瑞芬太尼複閤七氟醚在肝功能障礙嬰兒手術中的應用。方法嬰兒先天性膽總管囊腫手術40例，隨機分為兩組，瑞芬太尼複閤七氟醚維持痳醉組(R組)和單純七氟醚維持痳醉組(S組)。記錄誘導前(T0)、切皮前(T1)、切皮後10 min(T2)、手術開始60 min(T3)、縫皮(T4)時的MAP、HR、CETSev。記錄手術時間、呼吸恢複時間、拔管時間、Aldrete評分達10分時的清醒時間。結果 T1~T4時R組、T1~T3時S組HR、MAP明顯低于T0時(<0.05)；T2~T4時R組HR、MAP明顯低于S組(<0.05)；T2~T4時R組CETSev均明顯低于S組(<0.05)。R組與S組手術時間無明顯差彆(>0.05)；R組呼吸恢複時間、拔管時間、Aldrete評分達10分時的清醒時間均明顯低于S組(<0.05)。結論在肝功能障礙嬰兒手術中使用瑞芬太尼複閤七氟醚維持痳醉，術中痳醉效果好、循環穩定，且患兒術後囌醒迅速。因此瑞芬太尼複閤七氟醚適用于肝功能障礙的嬰兒的痳醉維持。
목적탐토서분태니복합칠불미재간공능장애영인수술중적응용。방법영인선천성담총관낭종수술40례，수궤분위량조，서분태니복합칠불미유지마취조(R조)화단순칠불미유지마취조(S조)。기록유도전(T0)、절피전(T1)、절피후10 min(T2)、수술개시60 min(T3)、봉피(T4)시적MAP、HR、CETSev。기록수술시간、호흡회복시간、발관시간、Aldrete평분체10분시적청성시간。결과 T1~T4시R조、T1~T3시S조HR、MAP명현저우T0시(<0.05)；T2~T4시R조HR、MAP명현저우S조(<0.05)；T2~T4시R조CETSev균명현저우S조(<0.05)。R조여S조수술시간무명현차별(>0.05)；R조호흡회복시간、발관시간、Aldrete평분체10분시적청성시간균명현저우S조(<0.05)。결론재간공능장애영인수술중사용서분태니복합칠불미유지마취，술중마취효과호、순배은정，차환인술후소성신속。인차서분태니복합칠불미괄용우간공능장애적영인적마취유지。
Objective Discussion on the application of remifentanil and sevoflurane in liver dysfunction operation in infants . Methods Infants with congenital choledochal cyst operation in 40 cases, were randomly divided into two groups, remifentanil and sevoflurane to maintain anesthesia group (group R) and simple anesthesia maintenance group (group S).MAP、 HR、 CETSev were abserved before induction (T0), before skin incision (T1), 10 min after skin incision (T2), 60 min after operation beginning (T3), sewing leather (T4) . The operation time, breathing recovery time, extubation time, awake time of Aldrete score of 10 points were recorded. Results In group R, HR and MAP were lower at T1~T4 than that at T0. In group S, HR and MAP were lower at T1~T3 than that at T0 ( <0.05). HR and MAP were lower at T2~T4 than those in group S ( <0.05). In group R, CETSev was lower at T2~T4 than those in group S ( <0.05).There no significant dif erence in operation time in group R and group S ( >0.05). In group R , breathing recovery time、extubation time awake time of Aldrete score of 10 points were lower than those in group S ( <0.05). Conclusion Remifentanil and sevoflurane in liver dysfunction in infants operation can provide satisfactory anesthetic ef ect. The children quickly regained consciousness after the surgery.Therefore, Remifentainil and sevoflurane is suitable for the infant of liver function obstacle .
