快通道麻醉应用于小儿心内直视手术中临床价值研究.docVIP

快通道麻醉应用于小儿心内直视手术中临床价值研究 　　【摘要】目的探讨快通道麻醉应用于小儿心内直视手术的临床应用价值。方法将本院2010年1月至2011年12月行心内直视手术的72例先天性心脏病患儿随机分成2组：实验组36例；对照组36例。对照组采用常规麻醉；实验组采用快通道麻醉。观察和比较两组患儿麻醉围手术期的血流动力学参数变化情况、术后拔管时间、CICU留观时间、住院时间、住院费用、不良反应发生情况。结果实验组患儿麻醉围手术期的MAP、CVP、HR指标水平与对照组相比差异无统计学意义（P005）；实验组的术后拔管时间、CICU留观时间、住院时间、住院费用均明显少于对照组（P005）；实验组的总不良反应发生率为1389%，对照组的总不良反应发生率为3611%，实验组的不良反应发生率明显低于对照组（P005）。结论快通道麻醉应用于小儿心内直视手术的临床效果显著。 　　【关键词】 　　心内直视手术；快通道麻醉；临床价值 　　Research on clinical value of fasttrack anesthesia for pediatric openheart surgery 　　LIU Fengqin， DONG Xiahui， LIU Wei Department of Anesthesiology， Shangqiu First Peoples Hospital of Henan province 476100 China 　　【Abstract】Objective 　　To investigate the clinical value about fasttrack anesthesia for pediatric openheart surgery MethodsThe 72 cases of children with congenital heart disease admitted to hospital from January 2010 to December 2011 were randomly divided into two groups， control group （n=36） and treatment group （n=36） The control group was given routine anesthesia， but the treatment group was given fasttrack anesthesia The changes of hemodynamic parameters， postoperative extubation time， CICU observing time， hospitalization time， hospitalization costs， and the incidence of adverse reactions in 2 groups was observed and compared ResultsThe index value of MAP， CVP， HR in the treatment group was similar to the control group（P005）； the postoperative extubation time， CICU observing time， hospitalization time， hospitalization costs in the treatment group was significantly less than the control group（P005）； the total adverse reactions rate was 1389% in the treatment group， but the control group was 3611%，so the incidence of adverse reactions in the treatment group was significantly less than the control group （P005）ConclusionThere is a significant clinical effects of fasttrack anesthesia for pediatric openheart surgery. 　　【Key words】 　　Openheart surgery； Fasttrack anesthesia； Clinical value 　　作者单位：476100河南省商丘市第一人民医院麻醉科（刘凤勤董晓辉），心外科（刘伟） 　　小儿先天性心