小儿扁桃体切除应用瑞芬太尼及七氟醚的麻醉效果分析

Analysis of Anesthesia Effect of Remifentanil Combined with Sevoflurane in Pediatric Tonsillectomy

目的:评析在小儿扁桃体切除术中应用瑞芬太尼复合七氟醚的麻醉效果。方法:其中对照组36例接受扁桃体切除术患儿给予瑞芬太尼复合丙泊酚麻醉,实验组36例则采取瑞芬太尼复合七氟醚麻醉,记录比较两组患儿不同时间段SBP、DBP与HR的变化以及麻醉恢复情况。结果:两组患儿麻醉前血压心率无明显差异,实验组在插管后5min、手术开始5min的血压心率均较对照组明显更优,拔管后5min两组各指标无明显差异;实验组患儿的拔管时间、呼吸恢复时间及意识恢复时间均较对照组明显更短。结论:瑞芬太尼复合七氟醚在小儿扁桃体切除术中血流动力学影响小,且术后麻醉恢复快。

Objective To analyze the anesthesia effect of remifentanil combined with sevoflurane anesthesia in children undergoing tonsillectomy. Methods： The control group of 36 cases undergoing tonsillectomy in children were given remifentanil combined with propofol anesthesia, the experimental group （36 cases） adopted remifentanil combined with sevoflurane anesthesia,and records were compared between the two groups of children with different time of SBP, DBP and HR changes and recovery from the anesthesia. Results： There was no significant difference in blood pressure heart rate between the two groups before anesthesia , the blood pressure and heart rate were significantly higher in the experimental group than in the control group after intubation, 5min, and 5min two groups were not significantly different from those in the control group, and the recovery time and recovery time were shorter than those of the control group. Conclusion： Pediatric tonsillectomy remifentanil combined with sevoflurane anesthesia in children undergoing tonsillectomy hemodynamic effects of small and postoperative anesthesia recovery.