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目的探讨瑞芬太尼-丙泊酚复合麻醉用于小儿全凭静脉麻醉时的安全性和有效性。方法选择小儿短小手术患儿30例,随机分为2组,诱导均静脉静注射氯胺酮2mg/kg。1组术中维持用瑞芬太尼+丙泊酚持续输注,2组术中维持用丙泊酚持续输注,视麻醉深浅及体动情况,间断推注氯胺酮。记录围手术期血流动力学变化、苏醒时间、苏醒质量。结果与2组相比1组小儿麻醉手术中血流动力学稳定,麻醉苏醒时间短,术后躁动少。结论瑞芬太尼-丙泊酚复合麻醉,使血流动力学更加平稳,术后苏醒更加迅速,用于小儿短小。
Objective To investigate the safety and efficacy of remifentanil-propofol combined anesthesia for total intravenous anesthesia in children. Methods Thirty children with short-term surgery were selected and randomly divided into two groups. Ketamine 2 mg / kg was induced by intravenous injection. One group received continuous infusion of remifentanil and propofol intraoperatively, while two groups received continuous infusion of propofol during operation. Ketamine was intermittently bolted according to anesthesia depth and physical activity. Perioperative hemodynamic changes were recorded, recovery time, awakening quality. Results Compared with the 2 groups, 1 group pediatric anesthesia in hemodynamic stability, anesthesia recovery time is short, postoperative agitation less. Conclusion Remifentanil - propofol combined anesthesia, the hemodynamics more stable, more rapid recovery after surgery, for short children.