七氟烷诱导复合芬太尼-丙泊酚麻醉方式在小儿霰粒肿切除术中的应用效果  

Application effect of Sevoflurane induction combined with Fentanyl-Propofol anesthesia methods in the resection of chalazion in children

作　　者：赖少娟 戴载深 LAI Shaojuan;DAI Zaishen(Department of Anesthesiology,Guangzhou Panyu Maternal and Child Health Hospital,Guangdong Province,Guangzhou 511400,China)

机构地区：[1]广州市番禺区妇幼保健院麻醉科,广东广州511400

出　　处：《中国当代医药》2022年第26期123-126,共4页China Modern Medicine

摘　　要：目的探讨七氟烷吸入诱导复合丙泊酚-芬太尼维持全身麻醉在小儿霰粒肿切除术中的应用效果。方法选取2019年1月至2020年12月广州市番禺区妇幼保健院的94例行小儿霰粒肿切除术患儿(ASAⅠ或Ⅱ级)作为研究对象,按随机数字表法分为对照组(47例)与研究组(47例)。对照组患儿采用诱导后以3%七氟烷和氧流量2 L/min维持麻醉的方式,研究组患儿采用诱导后在手术开始前10、5 min分别单次静脉注射芬太尼1μg/kg,同时持续泵注丙泊酚10 mg/kg维持麻醉的方式。比较两组患儿术中的生命体征、苏醒时间、患儿术中的体动次数、苏醒期躁动率、术者的临床满意度。结果所有患儿均顺利完成手术,两组患儿的年龄、性别、身高、体重比较,差异无统计学意义(P>0.05);两组患儿术中的血氧、呼吸抑制情况、苏醒时间比较,差异均无统计学意义(P>0.05)。研究组患儿术中的体动次数少于对照组,差异有统计学意义(P<0.05)。研究组患儿的苏醒期躁动时间短于对照组,差异有统计学意义(P<0.05)。研究组的术者临床满意度高于对照组,差异有统计学意义(P<0.05)。结论小儿霰粒肿切除术中采用七氟烷诱导复合芬太尼-丙泊酚的麻醉效果更佳,更容易被手术医生所接受,值得推广。Objective To investigated the application effect of Sevoflurane inhalation induction combined with Fentanyl-Propofol general anesthesia methods in the resection of chalazion in children.Methods A total of 94 children who underwent the resection of chalazion(ASA grade Ⅰ or Ⅱ)in Guangzhou Panyu Maternal and Child Health Hospital were selected as the study subjects,and they were divided into the control group(47 cases)and the study group(47 cases)according to random number table methods.The patients in the control group were anesthetized with 3% Sevoflurane and oxygen flow of 2 L/min after induction,and the patients in the study group were anesthetized with Fentanyl 1μg/kg intravenously 10 and 5 minutes before the operation,and Propofol 10 mg/kg was continuously pumped to maintain anesthesia.The vital signs,recovery time,number of body movements,restlessness rate in recovery period and clinical satisfaction of operators were compared between the two groups.Results All the patients were completed the operation successfully.There were no significant differences in the age,gender,height and weight between the two groups(P>0.05).There were no significant differences in the blood oxygen,respiratory depression and recovery time between the two groups(P>0.05).The number of body movements in the study group was less than that in the control group,and the difference was statistically significant(P<0.05).The restlessness time in recovery period of the patients in the study group was shorter than that of the control group,and the difference was statistically significant(P<0.05).The clinical satisfaction of operators in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The anesthesia effect of Sevoflurane induction combined Fentanyl-Propofol in the resection of chalazion in children is better,which is more easily accepted by operators,and is worthy of promotion.

关 键 词：小儿霰粒肿切除术 七氟烷 芬太尼 丙泊酚 全身麻醉 麻醉效果 

分 类 号：R614.2[医药卫生—麻醉学]