瑞芬太尼复合异丙酚用于小儿短小手术的麻醉效果观察.docVIP

瑞芬太尼复合异丙酚用于小儿短小手术的麻醉效果观察 　　[摘要] 目的 探讨瑞芬太尼复合异丙酚用于小儿短小手术的麻醉效果。 方法 选取我院2013年12月～2015年3月收治的76例需进行短小手术的男性患儿为研究对象。将76例患儿按照麻醉方式分为观察组30例与对照组36例，观察组采用瑞芬太尼复合异丙酚麻醉，对照组采用氯胺酮麻醉。比较两组患儿的心率（HR）、平均动脉压（MAP）、血氧饱和度（SpO2）、不良反应发生率及苏醒时间。 结果 两组患儿术前的HR、MAP、SpO2比较差异无统计学意义（P>0.05），与术前比较，两组术中的SpO2变化不明显（P>0.05），但对照组术中的HR显著增快，MAP显著增高（P<0.05）。观察组术后苏醒时间较对照组显著缩短，且不良反应发生率明显低于对照组（P<0.05）。 结论 在小儿短小手术中应用瑞芬太尼复合异丙酚全身麻醉，能够在满足手术需要的同时，显著缩短苏醒时间，降低不良反应发生率，是一种较好的复合麻醉方式。 　　[关键词] 瑞芬太尼；异丙酚；小儿短小手术；麻醉 　　[中图分类号] R726.1 [文献标识码] A [文章编号] 1674-4721（2016）03（b）-0129-03 　　[Abstract] Objective To explore the anesthesia effect of remifentanil combined with propofol applied in minor surgery for children. Methods 76 male children receiving minor surgery treated by our hospital from December 2013 to March 2015 were selected as study group and they were divided into observation group （30 cases） and control group （36 cases） according to anesthesia method.Observation group was given remifentanil combined with propofol for anaesthesia，while control group was given ketamine for anaesthesia.The heart rate （HR），mean arterial pressure （MAP） and blood oxygen saturation （SpO2），awake time and incidence rate of adverse reaction between two groups was compared respectively. Results Before surgery，HR，MAP and SpO2 between two groups was not significantly different （P>0.05）；compared with before operatin，the change of SpO2 of two groups during operation was not obvious （P>0.05），but HR，MAP of control group was significantly increased during operation （P<0.05）.After surgery，awake time of observation group was significantly shorter than that of control group，and the incidence rate of adverse reaction in observation group was significantly lower than that of control group （P<0.05）. Conclusion Remifentanil combined with propofol used for general anesthesia in minor surgery for children can meet the requirement of operation，and it can obviously shorten awake time，reduce the incidence rate of adverse reaction.It is a better compound anesthesi