丙泊酚联合异氟烷麻醉与丙泊酚联合芬太尼麻醉在小儿外科麻醉中的效果对比

Comparing the Effect of Propofol Combined With Isoflurane Anesthesia With Propofol Combined With Fentanyl Anesthesia in Pediatric Surgery

目的探讨在小儿外科麻醉中分别应用丙泊酚联合异氟烷麻醉与丙泊酚联合芬太尼麻醉所取得的临床效果。方法选择我科收治的进行外科手术患儿100例,随机分为观察组与对照组,每组患者均为50例,对照组行丙泊酚联合异氟烷进行麻醉,观察组行丙泊酚联合芬太尼进行麻醉,观察两组麻醉效果,并进行分析比较。结果观察组呼吸恢复时间、拔管时间以及呼之睁眼时间短于对照组,两组间差异有统学意义(P<0.05),观察组躁动以及哭闹发生率低于对照组,两组间差异有统计学意义(P<0.05)。结论小儿外科麻醉中应用丙泊酚联合异氟烷麻醉与丙泊酚联合芬太尼麻醉均能够取得一定效果,但丙泊酚联合芬太尼麻醉,其呼吸恢复时间以及拔管时间都较短,并且能够有效减少患儿躁动以及哭闹的发生,有利于治疗,在条件允许情况下,尽可能选择丙泊酚联合芬太尼麻醉。

Objective To explore the clinical effect of propofol combined with isoflurane anesthesia and propofol combined with fentanyl anesthesia in pediatric surgery. Methods 100 patients with surgical operation were selected,they were randomly divided into two groups of equal number,and were recorded as the observation group and the control group,the control group were anesthetized with propofol isoflurane,and the observation group were anesthetized with propofol and fentanyl,compared and analyzed the two groups. Results After completion of the operation,the breathing recovery time,extubation time,and eyes open and cal time of the observation group were significantly shorter than those of the control group,restlessness and crying of the observation group were significantly lower than those of the control group,the differences between two groups were statistical y significant（P〈0.05）. Conclusion Both of the propofol combined with isoflurane anesthesia and propofol combined with fentanyl anesthesia in pediatric surgery have some effects,but in the fentanyl and propofol anesthesia,the respiratory recovery time and extubation time are short,and it can effectively reduce the incidence of children with restless and crying,and it is good for treatment,in conditions permit,as far as possible choose propofol fentanyl anesthesia.