七氟烷吸入联合丙泊酚-芬太尼复合静脉麻醉用于小儿气管异物取出术的麻醉效果观察  

Study on the effect of Sevoflurane and Propofol-Fentanyl intravenous anesthesia in pediatric foreign body removal surgery

作　　者：张琛[1] 邵雪泉[2] 

机构地区：[1]浙江省台州市立医院麻醉科,浙江台州318000 [2]浙江省衢州市人民医院麻醉科,浙江衢州324000

出　　处：《中国现代医生》2013年第36期78-80,共3页China Modern Doctor

基　　金：浙江省医药卫生科学研究基金(2010KYB140)

摘　　要：目的探讨七氟烷吸入联合丙泊酚-芬太尼复合静脉麻醉应用于小儿气管异物取出术的麻醉效果。方法选取行气管异物取出术患儿45例,随机分为两组。观察组24例采用七氟烷吸入联合丙泊酚-芬太尼复合静脉麻醉,对照组21例采用丙泊酚复合芬太尼麻醉。观察手术前后相关指标的变化。结果两组患儿插气管镜后和清醒后平均动脉压、心率、呼吸频率均有所下降(P<0.05)。观察组患儿术中呛咳、屏气及术后恶心呕吐、躁动的发生率低于对照组(P<0.05)。且观察组的出入镜次数、手术时间以及麻醉恢复时间均短于对照组(P<0.05)。结论七氟烷吸入联合丙泊酚-芬太尼复合静脉麻醉应用于小儿气管异物取出术效果显著,且安全有效,无严重不良反应发生,值得临床进一步推广研究。Objective To study the effect of Sevoflurane and propofol - fentanyl intravenous anesmesla m peulatnc foreign body removal surgery. Methods A total of 45 children with pediatric foreign in our hospital were to be studied. They were divided into successively a into observation group and control group by randomly. In the observation group, 24 cases used sevoflurane and propofol-fentanyl intravenous anesthesia control group, propofol and fentanyl anesthesia. Some index of surgery were to be observed. Results Two groups of children bronchoseope inserted inserted after bron- choscopy and sober after a mean arterial pressure, heart rate, respiratory rate has declined（P〈0.05）. Intraoperative ob- servation group of children choking breath, postoperative nausea and vomiting, restlessness incidence were less than the control group （P〈0.05）. Discrepancy mirror observation group number, operation time and anesthesia recovery times were shorter than the control group, （P 〈0.05）. Conclusion Sevoflurane and propofol - fentanyl intravenous anesthesia in pediatric foreign body removal surgery the effect is significant, and the safe and effective with no serious adverse events, worthy of further clinical studies.

关 键 词：气管异物 芬太尼 丙泊酚 七氟烷 

分 类 号：R614[医药卫生—麻醉学]