快通道麻醉用于小儿先生性心脏病手术的效果观察  

Clinical efficacy observation of fast-track anesthesia for pediatric congenital heart surgery

作　　者：尹青梅[1] 

机构地区：[1]山东省烟台市莱阳中心医院麻醉科,265200

出　　处：《中国实用医药》2014年第1期33-34,共2页China Practical Medicine

摘　　要：目的观察快通道麻醉应用于小儿先天性心脏病手术的临床效果。方法将70例小儿先天性心脏病手术治疗的患儿随机分为快通道麻醉组(观察组)和常规麻醉组(对照组)各35例,比较两组的术后相关指标。结果观察组术后应用1种以上镇静药物的应用人数明显低于对照组(χ2=48.62,P=0.041);两组术后直接回病房患者的比例明显高于对照组(χ2=60.87,P=0.004);观察组住院时间、术后进食时间、住院费用及并发症发生率均明显低于对照组,差异有统计学意义(t=2.314,P=0.037;t=2.438,P=0.020;t=4.354,P=0.003;χ2=53.89,P=0.026)。结论雷米芬太尼快通道麻醉用于小儿先天性心脏病手术麻醉,可减少术后镇痛药用量、缩短ICU停留时间和住院时间、减少术后并发症,麻醉效果值得肯定。Objective To observe the clinical efficacy of fast-track anesthesia in surgery of congenital heart disease. Methods 70 cases child admitted to the surgical treatment of congenital heart disease were randomly divided into fast-track anesthesia group（observation group） and general anesthesia group （control group）,anesthesia-related indications of the two method were compared. Results Fewer patients in observation group used more than one kind of sedative after the operation（χ2=48.62, P=0.041）, more patients in observation group left ICU as soon as the surgery finished than in control group（χ2=60.87, P=0.004）. The post-operative feeding time, length of hospital stay were significantly shorter in the observation group than in the control group（P〈0.05）. The medical costs were significantly less in the observation group than in the control group（t=2.314, P=0.037;t=2.438, P=0.020;t=4.354, P=0.003;χ2=53.89, P=0.026）. Conclusion Fast-track anesthesia in children with congenital heart surgery can reduce the patient recovery time and reduce postoperative pulmonary complications.

关 键 词：快通道麻醉 常规麻醉 先天性心脏病 雷米芬太尼 

分 类 号：R726.1[医药卫生—儿科]