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目的观察七氟醚、丙泊酚联合瑞芬太尼麻醉对儿童腺样体扁桃体切除术的术后躁动的影响比较。方法 40例择期扁桃体腺样体切除手术患儿,随即分为七氟醚组(1组,n=20)和丙泊酚联合瑞芬太尼组(2组,n=20)。全麻插管后分别给予七氟醚吸入和丙泊酚联合瑞芬太尼组维持。记录手术时间、麻醉时间。并测定拔管前两组患者苏醒期间的躁动评分,观察有无恶心呕吐、术后低氧血症、返流误吸等不良反应。结果两组患者的手术时间、麻醉时间、拔管时间、术后低氧血症、恶心呕吐的发生率差异无统计学意义。躁动发生率1组为35%,2组为20%低于1组。结论丙泊酚联合瑞芬太尼静脉全麻可减少腺样体扁桃体切除术患儿的术后躁动的发生。
Objective To observe the effects of sevoflurane, propofol combined with remifentanil on postoperative agitation of pediatric adenoid tonsillectomy. Methods Forty children undergoing elective adenoidectomy were randomly divided into sevoflurane group (n = 20) and propofol plus remifentanil group (n = 20). After anesthesia intubation, sevoflurane inhalation and propofol combined with remifentanil were given respectively. Record the operation time, anesthesia time. And before extubation two groups of patients during rest period agitation score to observe the presence or absence of nausea and vomiting, postoperative hypoxemia, reflux, aspiration and other adverse reactions. Results There was no significant difference in operative time, anesthesia time, extubation time, postoperative hypoxemia and nausea and vomiting between the two groups. The incidence of agitation was 35% in group 1 and 20% in group 2 was lower than in group 1. Conclusion Propofol combined with remifentanil intravenous anesthesia can reduce the incidence of postoperative agitation in children with adenoid tonsillectomy.