小儿腺样体扁桃体切除术中瑞芬太尼临床麻醉效果研究
|
摘要
目的研究小儿腺样体扁桃体切除术中瑞芬太尼临床麻醉效果。方法抽取2015年4月—2018年4月期间我院接收并采用小儿腺样体扁桃体切除术治疗的患儿120例为研究对象,平均分为常规组和试验组,常规组采用芬太尼进行麻醉,试验组采用瑞芬太尼进行麻醉,对比2组患儿不同麻醉的临床效果。结果试验组患儿插管后、拔管时心率值,均明显低于常规组(P <0.05);试验组患儿呼吸恢复时间、睁眼时间和拔管时间,均明显低于常规组(P <0.05)。结论相比芬太尼麻醉而言,小儿腺样体扁桃体切除术中瑞芬太尼临床麻醉效果更加显著,对血流动力学的影响较小,可推广应用。
Objective To study the clinical anesthetic effect of remifentanilin adenoid tonsillectomy in children. Methods 120 children who underwent adenoidectomy in our hospital from April 2015 to April 2018 were divided into two groups: the conventional group and the experimental group. The conventional group was anesthetized with fentanyl and the experimental group was anesthetized with remifentanil. Results The heart rate of the experimental group was significantly lower than that of the conventional group after intubation and extubation(P<0.05); the recovery time of breathing, opening time and extubation time of the experimental group were significantly lower than those of the conventional group(P<0.05); Conclusion Compared with fentanyl anesthesia, remifentanil anesthesia in adenoid tonsillectomy in children was more effective than fentanyl anesthesia. The intoxication effect is more significant, and has less influence on hemodynamics, so it can be widely applied.
Objective To study the clinical anesthetic effect of remifentanilin adenoid tonsillectomy in children. Methods 120 children who underwent adenoidectomy in our hospital from April 2015 to April 2018 were divided into two groups: the conventional group and the experimental group. The conventional group was anesthetized with fentanyl and the experimental group was anesthetized with remifentanil. Results The heart rate of the experimental group was significantly lower than that of the conventional group after intubation and extubation(P<0.05); the recovery time of breathing, opening time and extubation time of the experimental group were significantly lower than those of the conventional group(P<0.05); Conclusion Compared with fentanyl anesthesia, remifentanil anesthesia in adenoid tonsillectomy in children was more effective than fentanyl anesthesia. The intoxication effect is more significant, and has less influence on hemodynamics, so it can be widely applied.
引文
[1]刘涛,邓向丽,秦丽,等.瑞芬太尼联合丙泊酚静脉麻醉用于小儿扁桃体和腺样体手术的临床观察[J].中国基层医药,2014,21(13):2011-2012.
[2]陈兰凤,张瑞东,朱邵军,等.瑞芬太尼复合丙泊酚或七氟烷对小儿扁桃体切除术术后躁动的影响[J].中国现代医生,2016,54(6):81-83,87.
[3]谢金明.浅析瑞芬太尼与芬太尼在小儿腺样体扁桃体切除术的麻醉[J].中国保健营养,2016,26(7):107.
[4]李萌萌,费翔,吕绪磊,等.低温等离子技术行小儿腺样体切除、扁桃体消融术的麻醉管理[J].解放军医学杂志,2014,39(9):751-754.
[5]李丹,康宇,陶岩,等.帕瑞昔布钠和氟比洛芬酯用于小儿扁桃体和腺样体切除术的比较[J].国际麻醉学与复苏杂志,2014,35(12):1098-1100,1108.
[6]宁军宏.低温等离子辅助下儿童腺样体扁桃体切除术麻醉处理[J].青岛医药卫生,2015,47(3):193-194.
[7]张彩玲,王焕彬,宋琳苑,等.帕瑞昔布预防盐酸瑞芬太尼麻醉后痛觉过敏的临床观察[J].中国药房,2016,27(32):4564-4567.
[8]房瑞平,高红艳.瑞芬太尼复合丙泊酚靶控输注维持麻醉在小儿扁桃体切除术中的应用效果[J].中国医药,2017,12(3):430-433.
[9]张淑萍.芬太尼诱导复合瑞芬太尼麻醉用于小儿扁桃体切除术后躁动20例临床观察[J].中国民族民间医药,2014,23(9):33-34.
[10]邹雄,罗勇,覃宝全,等.瑞芬太尼联合七氟醚在小儿扁桃体切除手术中的麻醉效果研究[J].数理医药学杂志,2016,29(7):1044-1045,1046.
[11]梁小玲,洪甲庚.七氟醚与丙泊酚联合瑞芬太尼麻醉对儿童腺样体扁桃体切除术的麻醉效果比较[J].中外医学研究,2018,16(18):57-59.
[12]刘利.联合应用七氟醚及瑞芬太尼在小儿扁桃体切除术中麻醉效果分析[J].临床研究,2016,24(6):194-195.
[2]陈兰凤,张瑞东,朱邵军,等.瑞芬太尼复合丙泊酚或七氟烷对小儿扁桃体切除术术后躁动的影响[J].中国现代医生,2016,54(6):81-83,87.
[3]谢金明.浅析瑞芬太尼与芬太尼在小儿腺样体扁桃体切除术的麻醉[J].中国保健营养,2016,26(7):107.
[4]李萌萌,费翔,吕绪磊,等.低温等离子技术行小儿腺样体切除、扁桃体消融术的麻醉管理[J].解放军医学杂志,2014,39(9):751-754.
[5]李丹,康宇,陶岩,等.帕瑞昔布钠和氟比洛芬酯用于小儿扁桃体和腺样体切除术的比较[J].国际麻醉学与复苏杂志,2014,35(12):1098-1100,1108.
[6]宁军宏.低温等离子辅助下儿童腺样体扁桃体切除术麻醉处理[J].青岛医药卫生,2015,47(3):193-194.
[7]张彩玲,王焕彬,宋琳苑,等.帕瑞昔布预防盐酸瑞芬太尼麻醉后痛觉过敏的临床观察[J].中国药房,2016,27(32):4564-4567.
[8]房瑞平,高红艳.瑞芬太尼复合丙泊酚靶控输注维持麻醉在小儿扁桃体切除术中的应用效果[J].中国医药,2017,12(3):430-433.
[9]张淑萍.芬太尼诱导复合瑞芬太尼麻醉用于小儿扁桃体切除术后躁动20例临床观察[J].中国民族民间医药,2014,23(9):33-34.
[10]邹雄,罗勇,覃宝全,等.瑞芬太尼联合七氟醚在小儿扁桃体切除手术中的麻醉效果研究[J].数理医药学杂志,2016,29(7):1044-1045,1046.
[11]梁小玲,洪甲庚.七氟醚与丙泊酚联合瑞芬太尼麻醉对儿童腺样体扁桃体切除术的麻醉效果比较[J].中外医学研究,2018,16(18):57-59.
[12]刘利.联合应用七氟醚及瑞芬太尼在小儿扁桃体切除术中麻醉效果分析[J].临床研究,2016,24(6):194-195.