舒芬太尼对小儿七氟烷麻醉苏醒期躁动的影响

Sufentanil of Sevoflurane Anesthesia in Childhood to the Influence of Agitation

目的探讨舒芬太尼对小儿患者七氟烷麻醉苏醒期躁动的影响。方法方便选取小儿腹股沟斜疝疝囊高位结扎手术患者80例(2014年2月—2015年6月),随机分为治疗组和对照组,每组40例。所有患者均采用七氟烷吸入麻醉,手术开始前5 min治疗组静脉给予舒芬太尼0.05 ug/kg,对照组给予同等容量的生理盐水,观察苏醒时间、躁动程度及苏醒期呼吸抑制。结果治疗组躁动分级Ⅱ级及以上的例数共8例,对照组24例,明显低于对照组;治疗组的躁动发生率为5%,对照组25%,治疗组明显低于对照组,治疗组临床疗效优于对照组。结论舒芬太尼应用于小儿七氟烷麻醉能减少患儿苏醒期疼痛感,减少躁动的发生率。

Objective To explore the sufentanyl sevoflurane anesthesia in pediatric patients to the influence of agitation. Methods Convenient selection of pediatric patients with inguinal hernia sac high ligation in 80 cases （February 2014 to June 2015）, and divide them into treatment group and control group randomly with 40 cases in each group. All patients were anesthetized with sevoflurane inhalation. 5 minutes before the begin of surgery the treatment group was given intra- venous Sufentanyl 0.05 Ixg/kg and Control group were given equal volume of saline. The recovery time, degree of agitation and respiratory depression were observed in postoperative anesthetic period. Results 8 cases of patients＇ degree of agitation were greater than or equal to level 2 in the treatment group, which was significantly lower than the control group, 24 cases. The incidence of agitation was 5% in the treatment group, which was significantly lower than the control group, 25%. Con- clusion Sufentanyl used in pediatric sevoflurane anesthesia can reduce the pain of pediatric patients in the recovery period, and reduce the incidence of agitation.