七氟醚复合瑞芬太尼对扁桃体切除术患儿苏醒期躁动及术后镇痛的影响  

Effect of Sevoflurane Combined with Remifentanil on the Restlessness of Recovery and Postoperative Analgesia of Children with Tonsillectomy

作　　者：王叔衡[1] 赵静[1] 李胜锦[1] 温聪聪[1] 刘宁[1] 张坤 

机构地区：[1]葫芦岛市中心医院麻醉科,辽宁葫芦岛125001 [2]锦州医科大学附属第一医院麻醉科,辽宁锦州121001

出　　处：《现代生物医学进展》2017年第16期3136-3139,共4页Progress in Modern Biomedicine

基　　金：辽宁省自然科学基金项目(20032113)

摘　　要：目的:探究七氟醚复合瑞芬太尼对扁桃体切除术患儿苏醒期躁动及术后镇痛的影响。方法:选入我院择期行扁桃体切除术患儿39例,随机将患儿划分为实验组及对照组。对照组18例予七氟醚行吸入诱导及维持麻醉;实验组21例予七氟醚及瑞芬太尼静吸复合维持麻醉。记录两组血压心率,比较两组患儿苏醒期的躁动评分、术后镇痛、及是否发生恶心呕吐情况。结果:实验组总有效率高于对照组,差异存在统计学意义(P<0.05);与对照组相比,实验组患儿的苏醒期躁动评分较低、发生率较低,镇静指数评分较高,呼吸功能恢复快、拔管时间短,差异有统计学意义(P<0.05);实验组血压及心率较对照组平稳,差异有统计学意义(P<0.05)。结论:七氟醚复合瑞芬太尼在进行全身麻醉时,麻醉效果良好,能够明显减少苏醒期患儿躁动的发生,降低患儿术后疼痛,并且呼吸系统恢复快,较小影响心血管系统,值得推广。Objective： To investigate the effect of sevoflurane combined with remifentanil on the restlessness on the recovery and postoperative analgesia of children with tonsillectomy. Methods： 39 cases with tonsillectomy who were treated in our hospital were selected and randomly divided into the control group and the experiment group. 18 cases in the control group were treated with sevoflurane inhalation, and 21 cases in the experiment group were treated with sevoflurane and remifentanil anesthesia. Then the blood pressure, heart rate, the agitation score, the postoperative analgesia, and the incidence of complications between the two groups were observed and compared. Results： The total effective rate of the experimental group was higher than that of the control group, and the difference was statistically significant （P〈0.05）. Compared with the control group, the emergence agitation score and the incidence rate were lower in the experimental group, the sedation index was higher, the recovery of respiratory fimction was faster and the extubation time was shorter, and the differences were statistically significant （P〈0.05）. The blood pressure and heart rate in the experimental group were more stable than those of the control group, and the differences were statistically significant （P〈0.05）. Conclusion： Sevoflurane and remifentanil in general anesthesia has better effect which can significantly reduce the occurrence of agitation in the recovery and the postoperative pain in children with respiratory system, and less impact on the cardiovascular system, and it is worthy of clinical promotion.

关 键 词：瑞芬太尼 七氟醚 小儿扁桃体切除术 麻醉苏醒期躁动 术后镇痛 

分 类 号：R614[医药卫生—麻醉学] R766.1[医药卫生—外科学]