舒芬太尼麻醉在小儿先心病手术中的应用  

Sufentanil Anesthesia in Pediatric Undergoing Surgical Repair of Congenital Cardiac Defects

作　　者：许立新[1] 佘守章[1] 肖辉[1] 索琨[1] 阮祥才[1] 

机构地区：[1]广州市第一人民医院麻醉科,广东广州510180

出　　处：《中国误诊学杂志》2004年第7期967-969,共3页Chinese Journal of Misdiagnostics

摘　　要：目的 :观察舒芬太尼应用于小儿先心病手术的麻醉效应及术后恢复情况。方法 :36例行先心病矫正手术患儿 ,根据阿片药物用药随机分为两组 (n=18) ,组 使用芬太尼 ,组 为舒芬太尼 ,复合咪唑安定、依托咪脂、异丙酚和维库溴胺实施全凭静脉麻醉 ,观察两组患儿麻醉效能、循环变化、阿片药用药量和术后麻醉恢复情况。结果 :两组患儿麻醉效果满意 ,诱导后 HR减慢发生率组 高于组 ,MAP基本稳定。两组芬太尼及舒芬太尼用量分别为 (382 .5± 4 3.2 )μg和 (33.4± 9.7)μg,组 平均清醒时间和气管拨管时间为 (3.2± 0 .8) h和 (4 .6± 1.3) h ,较组 [相应为 (4 .3± 1.1) h和 (5 .2± 1.4 ) h]为早。结论 :舒芬太尼用于小儿先心病手术的麻醉安全有效 ,不失为心脏手术麻醉用药的一种可行选择。Objective:To evaluate the use of sufentanil analgesia in pediatric undergoing cardiac surgery with cardiopulmonary bypass.Methods:Thirty-six pediatric underwent elective surgery repair of congenital cardiac defects were randomly divided into two groups. The patients were anesthetized with fentanil (group Ⅰ)or sufentanil (group Ⅱ)combined midazolam-etomidate-propofol-vecuronium. The changes of MAP, HR and SpO2 were observed during anesthesia. The dose of sufentanil and fentanil ,the time of awakening from anesthesia, and the extubation time and the stage of ICU were recorded.Results:The ratio of bradycardia was higher in group Ⅱthan that in group Ⅰ(66.7%vs16.7%), while MAP was kept stable in both groups during induction. The dose of fentanil and sufentanil were (382.5±43.2) μg and (33.4±9.7) μg respectively. The time of awakening from anesthesia and the extubation time was shorter in group Ⅱthan those in group Ⅰ.Conclusion:Sufentanil anesthesia was safe and effective for patient undergoing surgery repair of congenital cardiac defects with cardiopulmonary.

关 键 词：麻醉 舒芬太尼 心肺转流术 麻醉恢复期 儿童 心脏缺损 先天性/外科学 

分 类 号：R726.141[医药卫生—儿科]