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目的探讨丙泊酚微泵持续输注、芬太尼、七氟烷复合麻醉用于小儿气管异物取出术的临床效果。方法 24例气管异物取出术患儿,采用2%~4%七氟烷-4 L/min纯氧面罩吸入诱导,芬太尼1~2μg/kg、丙泊酚1~2 mg/kg静脉注射诱导,丙泊酚2~4 mg/kg微泵持续输注维持麻醉,记录麻醉前、术中及术后HR、SBP、SpO2的变化及患儿苏醒情况。结果麻醉前、术中及术后患儿HR、SBP、SpO2的变化差异无统计学意义(P>0.05),所有患儿均在术毕10~20 min清醒。结论丙泊酚持续输注、芬太尼、七氟烷复合麻醉方法用于小儿气管异物取出术安全性高、苏醒快,值得临床推广应用。
Objective To investigate the clinical effects of continuous infusion of propofol micropumps, fentanyl and sevoflurane combined anesthesia for pediatric tracheal foreign bodies removal. Methods Twenty-four children with tracheal foreign bodies were treated with inhalation of 2% to 4% sevoflurane-4 L / min pure oxygen masks. Fentanyl 1 ~ 2μg / kg and propofol 1 ~ 2 mg / kg were injected intravenously Induction, propofol 2 ~ 4 mg / kg continuous infusion pump to maintain anesthesia, before anesthesia, intraoperative and postoperative HR, SBP, SpO2 changes and children wake up. Results There were no significant differences in HR, SBP and SpO2 before, during and after anesthesia (P> 0.05). All children were awake at 10-20 min after operation. Conclusion Continuous propofol infusion, fentanyl, sevoflurane anesthesia combined with pediatric tracheal foreign body removal is safe, rapid recovery, it is worthy of clinical promotion and application.