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后躁动的影响比较

目的观察七氟醚、丙泊酚联合瑞芬太尼麻醉对儿童腺样体扁桃体切除术的术后躁动的影响比较。方法 40例择期扁桃体腺样体切除手术患儿,随即分为七氟醚组(1组,n=20)和丙泊酚联合瑞芬太尼组(2组,n=20)。全麻插管后分别给予七氟醚吸入和丙泊酚联合瑞芬太尼组维持。记录手术时间、麻醉时间。并测定拔管前两组患者苏醒期间的躁动评分,观察有无恶心呕吐、术后低氧血症、返流误吸等不良反应。结果两组患者的手术时间、麻醉时间、拔管时间、术后低氧血症、恶心呕吐的发生率差异无统计学意义。躁动发生率1组为35%,2组为20%低于1组。结论丙泊酚联合瑞芬太尼静脉全麻可减少腺样体扁桃体切除术患儿的术后躁动的发生。

Objective To compare the effects of the emergence of agitation of anesthesia with propofol and remifentanil anesthesia for adenotonsillectomy surgery of children in recovery period.Methods A total of 40 infants（aged 5~11 years）undergoing adenotonsillectomy were randomized for anesthesia with sevoflurane（group 1）,remifentanil-propol（group 2）.Both groups received intravenous injection of fentanyl 4 μg/kg,propofol 2 mg/kg and vecuronium 0.12 mg/kg for general anesthesia induction and endotracheal intubation.The patients in group 1 received sevoflurane inhalation,while group 2 received intravenous injection of propfol and renifetanil.Results The incidence of emergence agaitation in group 2 was lower than that of group 1.Conclusion Propofol and remifentanil was excellence in the prevention emergence agitation.