瑞芬太尼复合七氟醚用于小儿扁桃体手术的麻醉效果

Anesthetic Effect of Remifentanil Combined with Sevoflurane for Pediatric Tonsillectomy

目的探讨瑞芬太尼复合七氟醚用于小儿扁桃体切除手术的麻醉效果。方法选择我院2014年1月至2015年1月收治的拟行扁桃体摘除术的患儿70例,全部患儿均采用瑞芬太尼复合七氟醚麻醉,对患儿麻醉前后的血压、心率变化进行观察比较。结果患儿血压在麻醉诱导时与麻醉前比较,差异有统计学意义(P<0.05);患儿的心率在麻醉诱导时、气管插管时、手术开始时、手术完成后半小时均显著低于麻醉前(P<0.05)。在全部70例患儿中,术后有2例患儿出现呕吐,呕吐发生率为2.9%;术后患儿并没有发生躁动哭闹现象。结论在小儿扁桃体切除手术中,应用瑞芬太尼复合七氟醚麻醉具有比较显著的效果,而且不良反应发生率低,具有较高的安全性,值得临床推广和应用。

Objective To analyze the anesthetic effect of remifentanil combined with sevoflurane for pediatric tonsillectomy. Methods From January 2014 to January 2015, 70 cases of children undergoing tonsillectomy in our hospital were selected and given remifentanil combined with sevoflurane for anesthesia. The blood pressure （BP） and heart rate （HR） of children before and after anesthesia were observed and compared. Results The blood pressure of children at the moment of anesthesia induction and before anesthesia had statistical difference （P 〈0.05）. At the moment of anesthesia induction and trachea cannula, at the beginning of operation, half hour after operation, the heart rate of children was all significantly lower than that before anesthesia, P〈0.05. Of 70 patients, 2 cases showed vomiting, which accounted for 2.9%; restlessness and cry were not found in patients after operation. Conclusions In pediatric tonsillectomy, remifentanil combined with sevotlurane has significant effect, low incidence of adverse reactions and high safety, which deserves clinical popularization and application.