瑞芬太尼联合七氟烷对小儿眼科短小手术麻醉的临床效果观察

Anesthesia with remifentanil and sevoflurane for short operation of pediatric ophthalmology

目的对小儿眼科短小手术患者予以瑞芬太尼联合七氟烷麻醉,以此观察瑞芬太尼联合七氟烷的临床效果。方法选择2016年9月至2018年9月本院收治的200例小儿眼科短小手术患者,按麻醉方式的不同分为研究组(瑞芬太尼联合七氟烷)与对照组(七氟烷联合丙泊酚静脉麻醉)。观察比较两组患者的手术时间、苏醒时间、拔除喉罩时间、PACU停留时间、术后并发症情况。结果研究组的苏醒时间为(5.11±2.35)min、拔除喉罩时间为(7.32±2.46)min、PACU停留时间为(26.11±4.11)min、术后并发症发生率为3.00%,均少于对照组[分别为(7.22±2.11)min、(9.67±2.57)min、(30.79±4.02)min、15.00%],差异均有统计学意义(均P<0.05);研究组患者的手术时间为(29.11±2.22)min,对照组为(29.21±2.13)min,差异无统计学意义(P>0.05)。结论瑞芬太尼联合七氟烷用于小儿眼科短小手术的麻醉,可以缩短患者的术后清醒时间,满足小儿眼科短小手术的需要。

Objective To observe the clinical effect of anesthesia with remifentanil and sevoflurane for patients tkaing pediatric ophthalmologic short surgery. Methods A total of 200 patients taking pediatric ophthalmic short surgery from September, 2016 to September, 2018 were selected, and were divided into study group and a control group according to different anesthesia methods. The study group took intravenous anesthesia with refentanil and sevoflurane, and the control group with sevoflurane and propofol. The operation time, recovery time, time for the removal of laryngeal mask, PACU stay time, and postoperative complications were compared between the groups. Results The recovery time, the time for the removal of laryngeal mask, and the retention time of PACU were shorter and the incidence of postoperative complications was lower in the study group than in the control group [(5.11±2.35) min vs.(7.22±2.11) min,(7.32±2.46) min vs.(9.67±2.57) min,(26.11±4.11) min vs.(30.79±4.02) min, and 3.00% vs. 15.00%;all P < 0.05]. The operative time was (29.11±2.22) min in the study group, and was (29.21±2.13) in the control group (P > 0.05). Conclusion Anesthesia with remifentanil and sevoflurane for short operation of pediatric ophthalmology can shorten the patients’ postoperative waking time and meet the surgery needs.