舒芬太尼联合七氟烷在胸微创先心封堵术的麻醉效果分析

Anesthetic Effect of Sufentanil Combined with Sevoflurane in Minimally Invasive Congenital Heart Closure in the Chest

目的:探究舒芬太尼联合七氟烷在胸微创先心封堵术的麻醉效果。方法:选取2016年3月～2017年9月某院收治的98例行胸微创先心封堵术的患儿为研究对象,根据麻醉方法分为观察组(57例)和对照组(41例)。观察组给予舒芬太尼联合七氟烷维持麻醉,对照组给予丙泊酚联合瑞芬太尼维持麻醉,比较两组患者的麻醉效果。结果:两组患者术中HR、SBP及DBP水平与手术前相比均提高,但两组间比较差异无统计学意义(P>0.05);观察组苏醒时间、拔管时间、躁动评分及复苏室停留时间均低于对照组,差异具有统计学意义(P<0.05)。结论:舒芬太尼联合七氟烷在胸微创先心封堵术的效果显著,且患者苏醒迅速,值得临床推广。

Objective:To investigate the anesthetic effect of sufentanil combined with sevoflurane in minimally invasive congenital heart closure in the chest. Methods: A total of 98 children underwent minimally invasive chest closure in a hospital from March 2016 to September 2017 were selected as the study subjects. According to the method of anesthesia, they were divided into observation group(57 cases) and control group(41 cases). The observation group was given sufentanil and sevoflurane to maintain anesthesia, and the control group was given propofol and remifentanil to maintain anesthesia. The anesthetic effects of the two groups were compared. Results: The levels of HR, SBP and DBP in the two groups were increased compared with those before surgery, but there was no significant difference between the two groups(P>0.05). The awakening time, extubation time, restlessness score, and resuscitation room residence time in observation group were all lower than those in the control group. The difference was statistically significant(P<0.05). Conclusion: The effect of sufentanil combined with sevoflurane in the minimally invasive congenital thoracic closure of the chest is significant, and the patient recovers rapidly and is worthy of clinical promotion.