瑞芬太尼复合丙泊酚用于唇腭裂整复术的临床分析研究  

Clinical observation of remifentanil and phenol for cleft lip and palate repairing operation

作　　者：胡琼玉[1] 

机构地区：[1]中山大学附属第六医院麻醉科,广东广州510655

出　　处：《中国当代医药》2009年第20期37-38,共2页China Modern Medicine

摘　　要：目的:观察瑞芬太尼复合丙泊酚用于畸形儿唇腭裂整复术麻醉的临床效果。方法:择期畸形儿唇腭裂整复术术畸形儿76例,随机分为治疗组和对照组,每组各38例。麻醉诱导插管后,治疗组用瑞芬太尼+丙泊酚持续靶控输注,对照组用羟丁酸钠+氯胺酮靶控输注治疗。结果:两组血流动力学比较、不良反应发生情况比较无明显差异,但是治疗组的苏醒时间、拔管时间比对照明显缩短。结论:瑞芬太尼复合丙泊酚在畸形儿唇腭裂整复术全程静脉麻醉中的应用,可使畸形儿血压维持在稳定的低水平状态,且具有术后拔管与苏醒快及并发症低等优点,值得临床推广。Objective： To observe the clinical effect of using remifentanil and phenol for cleft lip and palate repairing operation in oafs. Methods： 76 Oafs with cheilopalatognathus were randomly divided into two groups（the treatment group and the control group）, the treatment group anesthesia was induced and maintained by remifentanil and phenol, and the control group anesthesia was induced and maintained by hydroxy sodium butyrate and ketaminc. Results： The haemodynamics eonditions and side effect of two groups had not significant difference; but there were significant difference between the two groups in terms of recovery time and cupping time. Conclusion ： Remifentanil combined with phenol can offer superior intraoperative hemodynamic stability because of its superiority in shortening the time of awake and extubate in cleft lip and palate repairing operation in oafs.

关 键 词：唇腭裂 麻醉 瑞芬太尼 丙泊酚 畸形儿 

分 类 号：R971.2[医药卫生—药品]