CAJ | 학술논문

目的：观察不同剂量舒芬太尼用于腹腔镜手术全麻患儿喉罩插入前麻醉诱导效果及安全性。方法将120例患儿随机均分为A组，B组和C组，分别给予0.1，0.2，0.3μg/kg舒芬太尼麻醉诱导。结果3组患儿喉罩1次插入成功率和喉罩插入时间比较，差异无统计学意义（ P﹥0.05）；B组及C组患儿呼吸暂停时间显著长于A组，C组更长（ P﹤0.05）；B组及C组患儿喉罩插入评分满意度均显著优于A组（ P﹤0.05）；3组患儿T1时平均动脉压( MAP )和心率（HR）水平均显著低于T0（ P﹤0.05）；A组患儿T2时MAP和HR水平均显著高于T0时及B组和C组（ P﹤0.05）；3组患儿T4时MAP和HR均显著低于T0（ P﹤0.05）。结论全麻喉罩插入下行腹腔镜手术治疗患儿给予0.2μg/kg舒芬太尼用于麻醉诱导，可有效改善喉罩插入效果，提高血流动力学稳定性，效果及安全性均较好，值得临床推广。
목적：관찰불동제량서분태니용우복강경수술전마환인후조삽입전마취유도효과급안전성。방법장120례환인수궤균분위A조，B조화C조，분별급여0.1，0.2，0.3μg/kg서분태니마취유도。결과3조환인후조1차삽입성공솔화후조삽입시간비교，차이무통계학의의（ P﹥0.05）；B조급C조환인호흡잠정시간현저장우A조，C조경장（ P﹤0.05）；B조급C조환인후조삽입평분만의도균현저우우A조（ P﹤0.05）；3조환인T1시평균동맥압( MAP )화심솔（HR）수평균현저저우T0（ P﹤0.05）；A조환인T2시MAP화HR수평균현저고우T0시급B조화C조（ P﹤0.05）；3조환인T4시MAP화HR균현저저우T0（ P﹤0.05）。결론전마후조삽입하행복강경수술치료환인급여0.2μg/kg서분태니용우마취유도，가유효개선후조삽입효과，제고혈류동역학은정성，효과급안전성균교호，치득림상추엄。
Objective To investigate the effect and safety of different doses of sufentanil for anesthetic induction before laryngeal mask insertion in children with laparoscopic operation under general anesthesia. Methods Totally 120 children patients were randomly divided into the group A,B and C,which were given with sufentanil 0. 1,0. 2,0. 3 μg/kg for anesthesia induction respectively. Results There was no statistically significant difference in the once successful rate of laryngeal mask insertion and laryngeal mask insertion time among the 3 groups( P ﹥ 0. 05);the apnea time of the group B and C was significantly longer than that of the group A,moreover the group C was significantly longer( P ﹤ 0. 05);the satisfaction of laryngeal mask insertion score in the group B and C was signif-icantly better than that in the group A( P ﹤ 0. 05);the levels of MAP and HR at T1 in the 3 groups was significantly lower than those at T0( P ﹤ 0. 05);the levels of MAP and HR at T2 in the group A were significantly higher than those at T0 and the group B and C( P ﹤ 0. 05 );the levels of MAP and HR at T 4 in 3 groups were significantly lower than those at T 0( P ﹤ 0. 05 ). Conclusion Giving sufentanil 0. 2 μg/kg for anesthetic induction before laryngeal mask insertion in children patients with laparoscopic operation under general anesthesia can effectively improve the laryngeal mask insertion effect and increase the hemody-namic stability,has better effect and good safety and is worthy of clinical promotion.