丙泊酚复合舒芬太尼在小儿麻醉中的体会

Experience of Propofol Combined with Sufentanil in Pediatric Anesthesia

目的:观察使用丙泊酚复合舒芬太尼静脉麻醉在小儿短小手术中的效果及安全性。方法:选择43例ASAⅠ-Ⅱ级,全麻下行短小手术的患儿,使用丙泊酚、舒芬太尼静脉复合麻醉,从麻醉深度,术中体动反应,术后苏醒时间及苏醒期有无躁动、恶心、呕吐等方面进行评价。结果:39例患儿在注入丙泊酚约10分钟后进入满意的麻醉状态;5例切皮时发生体动反应;8例手术超过30分钟后发生体动反应;36例于术毕25分钟内苏醒;7例30分钟内自然苏醒;苏醒期均无躁动、恶心、呕吐等。结论:在小儿短小手术中使用丙泊酚、舒芬太尼静脉复合麻醉是一种安全有效的麻醉手段。

Objective：To explore the efficacy and safety of propofol combined with sufentanil in intravenous anesthesia during the children minor surgery.Methods： 43 cases of grading ASA Ⅰ-Ⅱwere selected,and prepared to do minor surgery under general anesthesia,using propofol combined with sufentanil in intravenous.when the children were evaluated from the depth of anesthesia,intraoperative＇s movement response,the recovery time after surgery,with or without agitation,nausea,vomiting were observed during the recovery period.Results： 39 children are in satisfactory anesthesia in about 10min after being injected propofol,with 5 cases of movement in response to skin incision,8 cases of movement response after surgery 30min later,36 patients regained consciousness after surgery in 25min,7 cases are of natural wake in 30min,during the recovery period,there was no agitation,nausea,vomiting,etc.Conclusion： Using propofol combined with sufentanil in intravenous anesthesia,the children minor surgery is a safe and effective anesthesia means.