不同复合麻醉方法在小儿心脏病手术中麻醉效果的对比研究  

A comparative study of different compound anesthesia effect in the operation of pediatric heart disease

作　　者：钟海清[1] 邓铸强[1] 梁明启 李宁清[1] 陈秋成[1] 

机构地区：[1]高州市人民医院麻醉科,广东省525200

出　　处：《中国心血管病研究》2014年第7期664-666,668,共4页Chinese Journal of Cardiovascular Research

摘　　要：目的 探讨不同复合麻醉方法对小儿心脏病手术的麻醉效果及安全性.方法 将我院心脏外科先天性心脏病患儿90例随机分为A组、B组和C组.A组给予舒芬太尼进行复合麻醉,B组给予瑞芬太尼进行复合麻醉,C组给予芬太尼进行复合麻醉,评估三组临床麻醉效果及安全性.结果 三组HR、MAP及SpO2情况比较差异无统计学意义（P＞0.05）.拔管后60 min,A组VAS评分明显高于B、C组（P＜0.05）.三组患儿烦躁程度比较差异无统计学意义（P＞0.05）.结论 舒芬太尼复合麻醉方法在小儿心脏病手术麻醉中更具优势,值得应用.Objective To investigate the effect and safty of different compound anesthesia effect in the operationof pediatric heart disease.Methods The 90 cases with pediatric heart disease were divided into the A group,B group and the C group.The A group received the Sufentanil,B group received the Remifentaniland C group received the Fentanyl.Results There was no statistically significant in the HR,MAP and SpO2 in three groups （P＞0.05）.At 60 minutes after extubation,the VAS scores in the A group were obviously higher than those in B,C group（P＜0.05）.There was no statistically significant difference about irritability levels in three groups（P＞ 0.05）.Conclusion There is more advantage about Sufentanil anesthesia in operation of heart disease in children,so they are worth being used.

关 键 词：舒芬太尼 瑞芬太尼 芬太尼 小儿 心脏病 

分 类 号：R614.2[医药卫生—麻醉学]