摘要
[目的]比较瑞芬太尼加异丙酚全凭静脉麻醉、七氟醚吸入麻醉、静吸复合麻醉三种不同麻醉方式对小儿术后躁动的影响.[方法]将60例2~5岁实施腺样体切除的患儿随机分为三组(每组20例).瑞芬太尼加异丙酚全凭静脉组(P 组)、七氟醚组(S组)、静吸复合组(R 组),术后送入术后复苏室(PACU).观察各组的躁动发生率、苏醒时间和PACU停留时间.[结果]P组和R组的躁动发生率显著低于S 组(20%和35% vs 70%,P〈0.01).与R组比较,P组、S组的苏醒时间明显延长(P〈0.01或P〈0.05);PACU停留时间亦显著增加(P〈0.01或P〈0.05).[结论]瑞芬太尼加异丙酚全静脉麻醉可有效的抑制小儿术后躁动的发生率,但是联合七氟醚吸入麻醉可以得到更好的苏醒质量.
[Objective]To compare the effect of total intravenous anesthesia(TIVA) with remifentanil and propofol vs inhaled anesthesia with sevoflurane vs intravenous-inhaled anesthesia on postoperative agitation in children. [Methods]Totally 60 pediatric patients(aged 2 - 5 years old) undergoing adenoidectomy were randomly divided into TIVA with propofol and remifentanil group(group P, n = 20), inhaled anesthesia with sevoflurane group(group S, n = 20) and intravenous-inhaled anesthesia(group R, n = 20). All patients were sent into post-anesthesia ICU(PACU) after the surgery. The incidence of agitation, awakening time and stay time in PACU in three groups were observed. [Results]The incidence of agitation in group P and group R was significantly lower than that in group S(20% and 35% vs 70%, P 〈0.01). Compared with group R, the a- wakening time of group P and group S was prolonged obviously( P 〈0. 01 or P 〈0.05). The stay time in PACU of group P and group S also increased( P 〈0.01 or P 〈0.05). [ConclusionlTIVA with remifentanil and propofol can effectively decrease the incidence of postoperative agitation in children, but intravenous-inhaled anesthesia with propofol and sevoflurane can achieve better awakening quality.
出处
《医学临床研究》
CAS
2012年第4期666-667,671,共3页
Journal of Clinical Research
关键词
情绪障碍
麻醉
Mood disorders
anesthesia