CAJ | 학술논문

目的：探讨七氟醚联合瑞芬太尼在小儿扁桃体手术中的临床价值。方法：将我院78例应用扁桃体切除手术的小儿随机分为七氟醚组和丙泊酚组，记录两组患儿麻醉后5分钟、气管插管后5分钟、手术后5分钟及拔管后5分钟时的HR、BP及SpO2，并观察两组患儿在手术结束后自行呼吸恢复、主观意识恢复和气管拔管的时间。结果：七氟醚组在气管插管后5分钟、手术后5分钟HR、收缩压及舒张压显著高于丙泊酚组（P＜0.05），在拔管后5分钟HR及收缩压显著高于丙泊酚组（P＜0.05）；在手术结束后自行呼吸恢复时间、主观意识恢复时间和气管拔管时间上较丙泊酚组明显缩短，有统计学意义（P＜0.05）。结论：七氟醚复合瑞芬太尼麻醉在小儿扁桃体切除手术中，麻醉效果好、恢复速度快及血流动力平稳，不良反应少，值得推广。
목적：탐토칠불미연합서분태니재소인편도체수술중적림상개치。방법：장아원78례응용편도체절제수술적소인수궤분위칠불미조화병박분조，기록량조환인마취후5분종、기관삽관후5분종、수술후5분종급발관후5분종시적HR、BP급SpO2，병관찰량조환인재수술결속후자행호흡회복、주관의식회복화기관발관적시간。결과：칠불미조재기관삽관후5분종、수술후5분종HR、수축압급서장압현저고우병박분조（P＜0.05），재발관후5분종HR급수축압현저고우병박분조（P＜0.05）；재수술결속후자행호흡회복시간、주관의식회복시간화기관발관시간상교병박분조명현축단，유통계학의의（P＜0.05）。결론：칠불미복합서분태니마취재소인편도체절제수술중，마취효과호、회복속도쾌급혈류동력평은，불량반응소，치득추엄。
Objective:Discussion sevoflurane combined with remifentanil in pediatric clinical value of tonsilectomy.Method:78 cases of pediatric tonsillectomy surgery were randomly divided into sevoflurane group and propofol group, Records the HR、Bp and SpO2 of two groups of children 5 minutes after anesthesia、5 minutes after intubation、5 minutes after the operation and 5 minutes after extubation, observe two groups of children at the end of the operation to rescue breathing subjective consciousness recovery and tracheal extubation time.Results:Sevoflurane group 5 minutes after the operation,5 minutes after endotracheal intubation HR、systolic and diastolic blood pressure is significantly higher than the propofol group(P<0.05), five minutes after extubation HR and systolic blood pressure was significantly higher than the propofol group(P<0.05);At the end of the surgery itself breathing recovery time subjective consciousness recovery time and tracheal extubation time significantly shortened in the propofol group, there was statisticaly significant(P<0.05).Conclusion:Sevoflurane and remifentanil anesthesia in pediatric tonsilectomy surgery, anesthesia effect is good、fast recovery speed and stable hemodynamic, fewer adverse reactions, worthy of popularization.