七氟醚复合瑞芬太尼麻醉在小儿口腔手术中应用  

Application of sevoflurane-remifentanyl combined anesthesia in oral operation of pediatric patients

作　　者：熊理锋[1] 唐猛[1] 叶佩仪[1] 

机构地区：[1]湛江中心人民医院麻醉科,广东湛江524037

出　　处：《现代医药卫生》2008年第17期2545-2546,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨七氟醚复合瑞芬太尼在小儿口腔手术麻醉中的应用。方法:选择行口腔手术的患儿60例,随机分为两组,即七氟醚吸入组与异氟醚吸入组,每组各30例。分别使用七氟醚或异氟醚吸入诱导复合瑞芬太尼麻醉行唇裂、腭裂手术。记录诱导时间、拔管时间,观察有无恶心、呕吐,躁动,喉痉挛,支气管痉挛等并发症的发生。结果:七氟醚组诱导时间略长于异氟醚组静脉诱导时间;拔管时间均显著短于异氟醚组(P<0.05)。恶心、呕吐发生率差异无统计学意义(P>0.05)。结论:七氟醚吸入麻醉平稳迅速,缩短苏醒拔管时间,适用于小儿口腔手术手术。Objective ：To analyze the application of sevoflurane-remifentanyl combined anesthesia in oral operation of pediatric patients, Methods：60 pediatric patients were randomly divided into sevoflurane group（n=30） and isoflurane group （n=30）, The induction and extubation times were recorded, Nausea,vomiting, restlessness, laryngospasm, bronchiospasm were observed,Results：The induction time of sevoflurane group was longer than that of isoflurane group, but the extubation time of sevoflurane group was significantly shorter than that of isoflurane group（P〈0.05）, The difference of the incidence rate of nausea and vomiting was no statistically significant between two groups （P〉0.05）,Conclusion ：Sevoflurane inhalation anesthesia was stable and quick and could shorten the analepsia and extubation timesand apply to oral operation of pediatric patients.

关 键 词：小儿 口腔手术 七氟醚 异氟醚 

分 类 号：R614[医药卫生—麻醉学]