瑞芬太尼联合七氟醚在小儿扁桃体切除手术中的麻醉效果研究

Study on the Anesthetic Effect of Remifentanil Combined with Sevoflurane in Pediatric Tonsillectomy Operation

目的：探讨瑞芬太尼联合七氟醚在小儿扁桃体切除手术中的临床麻醉效果。方法：选取2013年7月～2015年7月某院收治的60例行小儿扁桃体切除手术患儿,术中按麻醉方法不同分为观察组（30例,瑞芬太尼联合七氟醚麻醉）和对照组（30例,瑞芬太尼联合丙泊酚麻醉）,对比两组患儿的麻醉效果及不良反应发生情况。结果：两组患儿T0时段的HR、DBP、SBP水平比较,差异无统计学意义（P〉0.05）;观察组T1、T2、T3时段的HR、DBP、SBP水平均显著优于对照组,差异有统计学意义（P〈0.05）;观察组恢复意识时间、不良反应发生率均显著低于对照组,差异有统计学意义（P〈0.05）。结论：在小儿扁桃体切除手术中应用瑞芬太尼联合七氟醚的麻醉效果确切,安全可靠,值得推广。

Objective： To investigate the anesthetic effect of Remifentanil combined with sevoflurane in pediatric tonsillectomy operation. Methods： 60 cases undergoing pediatric tonsil resection in a hospital from July 2013 to July 2015 were taken as research objects, who were divided into observation group （30 cases, remifentanil combined with sevoflurane anesthesia） and control group （30 cases） and remifentanil combined with propofol anesthesia） according to different anesthesia methods. Then compare the anesthetic effect and adverse effect of the two groups. Results. The levels of DBP, SBP at TO in the two groups were of no signifi