小儿骨科手术麻醉中瑞芬太尼联合丙泊酚及喉罩技术的应用效果分析  

Analysis of the practical effect of remifentanil combined with propofol combined with laryngeal mask airway in anesthesia for pediatric orthopedic surgery

作　　者：孙琳 SUN Lin(Liaoning Disabled Service Center,Shenyang 110015,China)

机构地区：[1]辽宁省残疾人服务中心,110015

出　　处：《中国实用医药》2021年第26期131-133,共3页China Practical Medicine

摘　　要：目的分析瑞芬太尼联合丙泊酚及喉罩技术在小儿骨科手术麻醉中的应用效果。方法75例骨科手术麻醉患儿,随机分为常规组(37例)和观察组(38例)。常规组患儿给予氯胺酮进行麻醉,观察组患儿给予瑞芬太尼联合丙泊酚及喉罩技术进行麻醉。比较两组患儿麻醉效果,麻醉前后血压、心率变化,苏醒期躁动发生率、躁动评分,不良反应发生率。结果观察组麻醉诱导时间、术后睁眼时间、拔管时间均短于常规组,差异有统计学意义(P<0.05)。麻醉前及诱导后,两组患儿舒张压和收缩压比较,差异无统计学意义(P>0.05);插管时、气腹5 min、停药时,观察组患儿舒张压和收缩压均高于常规组,差异有统计学意义(P<0.05)。麻醉前,两组心率比较差异无统计学意义(P>0.05);诱导后、插管时、气腹5 min、停药时,观察组心率明显低于常规组,差异有统计学意义(P<0.05)。观察组苏醒期躁动发生率为2.63%(1/38)、躁动评分为(1.55±0.32)分;常规组苏醒期躁动发生率为21.62%(8/37)、躁动评分为(2.69±0.45)分;观察组苏醒期躁动发生率与躁动评分均低于常规组,差异有统计学意义(P<0.05)。观察组不良反应发生率低于常规组,差异有统计学意义(P<0.05)。结论瑞芬太尼联合丙泊酚及喉罩技术应用于小儿骨科手术麻醉中效果显著,能够稳定患儿血压与心率,同时降低不良反应发生率,值得临床广泛应用。Objective To analyze the practical effect of remifentanil combined with propofol combined with laryngeal mask airway in anesthesia for pediatric orthopedic surgery.Methods A total of 75 children undergoing orthopedic surgery anesthesia were randomly divided into conventional group(37 cases)and observation group(38 cases).Children in the conventional group received ketamine for anesthesia,while children in the observation group received remifentanil combined with propofol and the laryngeal mask airway for anesthesia.Both groups of patients were compared in terms of anesthesia effect,blood pressure and heart rate changes before and after anesthesia,incidence of agitation and agitation score during recovery period,and incidence of adverse reactions.Results The anesthesia induction time,postoperative eye opening time,and extubation time of the observation group were shorter than those of the conventional group,and the difference was statistically significant(P<0.05).Before anesthesia and after induction,there was no statistically significant difference in diastolic blood pressure and systolic blood pressure between the two groups(P>0.05).At intubation,5 min of pneumoperitoneum,and drug withdrawal,the diastolic blood pressure and systolic blood pressure of the observation group were higher than those of the conventional group,and the difference was statistically significant(P<0.05).Before anesthesia,there was no statistically significant difference in heart rate between the two groups(P>0.05).After induction,at intubation,5 min of pneumoperitoneum,and drug withdrawal,the heart rate of the observation group was significantly lower than that of the routine group,and the difference was statistically significant(P<0.05).The incidence of agitation during the recovery period in the observation group was 2.63%(1/38),and the agitation score was(1.55±0.32)points;the incidence of agitation during recovery period in the conventional group was 21.62%(8/37)and the agitation score was(2.69±0.45)points.The incidence of agitation a

关 键 词：小儿骨科手术 麻醉 瑞芬太尼 丙泊酚 喉罩技术 

分 类 号：R726.1[医药卫生—儿科]