七氟醚吸入麻醉和瑞芬太尼复合丙泊酚静脉麻醉用于小儿手术的临床观察

Clinical Observation of Sevoflurane Inhalation and Remifentanil Combined with Propofol Total Intravenous Anesthesia in Pediatric Operation

目的:比较七氟醚吸入麻醉和丙泊酚、瑞芬太尼静脉麻醉用于小儿手术的临床效果。方法:100例1～8岁的患儿随机分为丙泊酚、瑞芬太尼组(A组)与七氟醚吸入组(B组)。麻醉诱导后,A组持续输注丙泊酚和瑞芬太尼维持麻醉,B组吸入七氟醚维持麻醉。术中根据生命体征调整丙泊酚、瑞芬太尼的输注速度及七氟醚的吸入浓度,记录术中循环变化、术后麻醉恢复情况。结果:与B组相比,A组术中MAP下降明显(P<0.05)。结论:与A组相比,B组术中生命体征控制平稳;术后清醒迅速、完全、平稳,拔管时间无明显差异。

Objective： To compare the clinical efficacy of sevoflurane inhalation and remifentanil combined with propofol total intravenous anesthesia in pediatric operation.Methods： One hundred patients aged from 1 to 8 years old were randomly divided into two groups,group A with recombined with propofol TIVA and group B with sevoflurane inhalation.They were 50 patients respectively.After induction of anesthesia,group A with continuous infusing proplfol and remifentail maintentant anesthesia,group B with inhaling sevoflurane.According to life indexes adjusted the infusing speed of propofol and remifentanil and the inhalation desity of sevoflurane during operation,also the variations of circulation during operation and the recover condition of anesthesia after operation were recorded.Results： During operation,MAP was significantly different in group A than that in group B（P〈0.05）.Conclusion： There was more stable life sign during operation in group B than that in group A,also rapidlier,completer,clear-headed.