联合应用芬太尼与七氟烷对小儿麻醉苏醒期躁动的影响

Effect of Fentanyl Combined with Sevoflurane on Restlessness During Anesthetic Recovery in Children

目的研究小儿麻醉苏醒期躁动实施芬太尼与七氟烷联合麻醉的效果及影响。方法随机选取疝气患儿500例,按照数字表法分为对照组与观察组,每组各250例。对照组实施七氟烷单独麻醉,观察组实施瑞芬太尼联合七氟烷复合麻醉。结果观察组患儿苏醒期的躁动评分显著低于对照组;苏醒期躁动发生率为10.4%,对照组则为34.8%;躁动时间>15min观察组占比1.20%,对照组则为10.8%,两组比较有统计学差异(P<0.05);两组患者手术时间、苏醒时间无统计学差异(P>0.05)。结论瑞芬太尼复合七氟烷麻醉作用于疝气患儿手术中,能有效降低患儿苏醒期躁动发生率,提高患儿的苏醒质量,值得临床借鉴实施。

Objective to study the effect and effect of combined anesthesia of fentanyl and sevoflurane in children with restlessness during anaesthesia.Methods 500 children with hernia were randomly divided into two groups:control group(n=250)and observation group(n=250).The control group was anesthetized with sevoflurane alone and the observation group was treated with remifentanil combined with sevoflurane combined anesthesia.Results the score of restlessness in the observation group was significantly lower than that in the control group,the incidence of restlessness in the observation group was 10.4%,and that in the control group was 34.8%,and the percentage of restlessness time>15min was 1.20%in the observation group and 1.20%in the control group.The difference between the two groups was significant(P<0.05),but there was no significant difference in the operation time and recovery time between the two groups(P>0.05).Conclusion remifentanil combined with sevoflurane anesthesia can effectively reduce the incidence of restlessness and improve the quality of recovery in children with hernia.