舒芬太尼在小儿腭裂整复术中的应用  

Application of sufentanil in children undergoing cleft palate repair

作　　者：徐莉 

机构地区：[1]成都市妇女儿童中心医院麻醉科,四川成都610091

出　　处：《四川医学》2012年第9期1570-1572,共3页Sichuan Medical Journal

摘　　要：目的探讨舒芬太尼在小儿腭裂整复术中的麻醉效果。方法 60例2～6岁拟行腭裂整复术患儿随机分为两组(每组30例):S组为舒芬太尼诱导,F组为芬太尼诱导,两组均采用七氟烷瑞芬太尼静吸复合维持麻醉。观察并比较两组患儿诱导前(T1)、插管时(T2)、手术即刻(T3)、手术15min(T4)、手术30min(T5)及清醒拔管(T6)血流动力学变化;记录手术时间、呼吸恢复时间、清醒及拔管时间,并观察拔除气管导管后5min的意识状态警觉/镇静(OAA/S)评级、躁动评分和术后呼吸抑制、呕吐等不良反应。结果两组患儿血流动力学比较差异无统计学意义,P>0.05。患儿术毕自主呼吸恢复时间、拔管后5min警觉/镇静(OAA/S)评级、躁动评分组间比较差异有统计学意义,P<0.05。结论舒芬太尼应用于小儿腭裂整复术麻醉中是安全可行的。Objective To investigate the application of sufentanil in children undergoing cleft palate repair. Methods Sixty children aged 2 - 6 years undergoing cleft palate repair were randomly allocated to 2 groups. Anesthesia was induced by ei- ther sufentanil or fentanyl, and maintained with sevoflurane inhalation supplemented with rcmifcntanil. The haemodynamics chan- ges were checked at different time point. OAA/S score and restlessness score 5 min after extubation were recorded. Extubation time, surgery time, recovery time of respiratory, consciousness recovery time and adverse events such as vomit in the two groups were evaluated. Results There were no difference in haemodynamics conditions during surgery in the two groups P 〉 0. 05. The extubation time was not significantly different between the two groups （ P 〉 0. 05 ）. Restlessness score was significantly lower in sufentanil group than in fentanyl group （ P 〈 0.05 ）. OAA/S score was not significantly different between the two groups （ P 〉 0. 05 ）. Conclusion Sufentanil can be safely applied in children undergoing cleft palate repair.

关 键 词：舒芬太尼 全身麻醉 腭裂整复术 

分 类 号：R782.054[医药卫生—口腔医学]