不同麻醉方式在小儿扁桃体腺样体肥大手术的效果比较  

作　　者：周玉梅[1] 涂远艳[1] 李璟[1] 

机构地区：[1]广东省东莞市妇幼保健院麻醉科,523002

出　　处：《当代医学》2010年第21期5-6,共2页Contemporary Medicine

摘　　要：目的观察不同的麻醉方式在小儿扁桃体腺样体肥大手术中的效果。方法选择ASAI级择期行扁桃体及腺样体切除术的患儿150例作为研究对象,随机分为3组。A组:芬太尼-七氟醚静吸复合全麻;B组:瑞芬太尼-丙泊酚全凭静脉麻;C组:瑞芬太尼-丙泊酚—神经阻滞。比较3组术中血流动力学变化、术后恢复情况。结果插管时、拔管后即刻,A组血压、心率分别高于B组、C组(P<0.05),其余时间点无显著差异。气管拔管时间、意识恢复时间A组长于B组,B组长于C组,差异均有统计学意义(P<0.05)。结论瑞芬太尼、丙泊酚结合区域阻滞的麻醉效果好,术后苏醒快,适用于小儿扁桃体腺样体肥大手术。Objective To observe the effect of different anesthesia methods to tonsillectomy and adenoidectomy in children. Methods 150 cases with ASAI scheduled for tonsillectomy and adenoidectomy.The children were randomly divided into three groups.A group： patients received fentanil combined with sevoflurane general anesthesia. B group： received remifentanil combined with propofol general anesthesia. C group： received remifentanil, propofol combined with nerve blocking general anesthesia.The hemodynamic parameters and recovery condition after operation was compared among three groups. Results SBP,DBP,HR in group A were larger than in group B, C（P〈0.05）at the time intubation and after extubation. No difference at other time. The extubation time and consciousness recovery time was significantly longer in the group A than in the groupB, C.Group B was longer than group C（P〈0.05）.Conclusion Remifentanil,propofol combined with nerve blocking general anesthesia has better anesthetic effect and faster analepsia time. It is suitable for tonsillectomy and adenoidectomy operation in children.

关 键 词：麻醉方式 扁桃体 腺样体 手术 

分 类 号：R726.1[医药卫生—儿科]