无肌松药麻醉用于小儿腺样体及扁桃体切除术的临床效果  

Clinical effect of non-muscle relaxants anesthesia in the pediatric adenoidectomy and tonsillectomy

作　　者：刘志林[1] 沈荣荣[1] 楼其锋 魏聪 费莉[1] 王浩杰[1] LIU Zhilin;SHEN Rongrong;LOU Qifeng;WEI Cong;FEI Li;WANG Haojie(Department of Anesthesiology,Yuyao People′s Hospital in Zhejiang Province,Yuyao 315400,China)

机构地区：[1]浙江省余姚市人民医院麻醉科,浙江余姚315400

出　　处：《中国现代医生》2022年第4期135-138,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2021ZH039)。

摘　　要：目的探讨无肌松药麻醉用于小儿腺样体及扁桃体切除术中的临床效果。方法选取2020年1月至2021年3月浙江省余姚市人民医院接受腺样体切除术及扁桃体切除术的100例鼾症患儿,随机分为两组,每组各50例。对照组采用肌松药物维库溴铵,观察组采用无肌松药物七氟醚,比较两组患儿的术中睫毛反射消失时间、疼痛反应消失时间、麻醉优良率、生命体征指标、不良反应发生率、术后麻醉苏醒情况。结果观察组的术中睫毛反射消失时间、疼痛反应消失时间均长于对照组(P<0.001),但观察组的术后自主呼吸恢复时间、睁眼时间、指令恢复时间相比于对照组均明显缩短(P<0.05)。两组的麻醉优良率比较,差异无统计学意义(P>0.05)。两组的收缩压、舒张压、心率在插管后与插管前比较,差异无统计学意义(P>0.05)。观察组的麻醉不良反应发生率显著低于对照组(P<0.05)。结论相比于肌松药物,无肌松药物用于小儿腺样体切除术或扁桃体切除术中可保持术中生命体征指标稳定,还可加快术后麻醉苏醒。Objective To explore the clinical effect of non-muscle relaxants anesthesia in the pediatric adenoidectomy and tonsillectomy.Methods A total of 100 children with snoring who underwent adenoidectomy and tonsillectomy in our hospital from January 2020 to March 2021 were randomly divided into two groups,with 50 cases in each group.The control group was treated with muscle relaxant vecuronium bromide,while the observation group was treated with non-muscle relaxant sevoflurane.The intraoperative disappearance time of eyelash reflex,disappearance time of pain response,excellent rate of anesthesia,vital signs indicators,incidence of adverse reactions,and postoperative anesthesia recovery in the two groups of patients were compared.Results The intraoperative disappearance time of eyelash reflex and disappearance time of pain response were longer in the observation group than those in the control group(P<0.001).However,the postoperative recovery time of spontaneous breathing,time of eye opening,and recovery time of command were significantly shorter in the observation group than those in the control group(P<0.05).There was no significant difference in terms of the excellent rate of anesthesia between the two groups(P>0.05).The systolic blood pressure,diastolic blood pressure,and heart rate in both groups did not change significantly after intubation compared with before intubation(P>0.05).The incidence of anesthetic adverse reactions was significantly lower in the observation group than that in the control group(P<0.05).Conclusion Compared with muscle relaxants,non-muscle relaxants can maintain stable intraoperative vital signs indicators in pediatric adenoidectomy or tonsillectomy and also accelerate postoperative anesthetic recovery.

关 键 词：小儿鼾症 腺样体切除术 扁桃体切除术 麻醉 无肌松药物 麻醉苏醒 

分 类 号：R614.2[医药卫生—麻醉学]