七氟醚复合芬太尼麻醉在小儿包皮环切术中的应用

The application of sevoflurane combined with fentanyl for anesthesia in circumcision in children

目的评价七氟醚复合芬太尼麻醉在小儿包皮环切术中的应用价值。方法研究120例择期包皮环切术的小儿单吸七氟醚或单吸七氟醚复合静注芬太尼麻醉对呼吸、循环、心电活动及术后并发症的影响。结果七氟醚复合静注芬太尼麻醉与单吸入七氟醚麻醉相比,患儿意识消失快,苏醒时间显著加快,术后恶心、呕吐、躁动明显少。结论静注芬太尼复合七氟醚吸入有明显协同诱导效应,在临床上优于单吸七氟醚诱导。

Objective To evaluate the effect of sevoflurane-fentanyl on circumcision in children.Methods 120 children who select the good time for the circumcision were randomly adopted the sevoflurane purely for anesthesia （n=60）,or sevoflurane combined with fentanyl for anesthesia （n=60 ）.Then the change of the respiratory rate,heart rate,blood pressure,arterial oxygen saturation, and the palinesthesia time,the postoperative complications were observed in these two groups.Results In the combined anesthesia group,the time for palinesthesia losing and palinesthesia were obviously short.Postoperative nausea, disgorging restlessness were obviously reduced.Conclusions The way that sevoflurane combined with fentanyl for anesthesia is better than the one using sevoflurane purely.