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目的:探讨三种麻醉方法用于小儿扁桃体和腺样体切除术全麻的安全性及效果。方法:选择60例择期行扁桃体和腺样体切除术的阻塞性睡眠性呼吸暂停综合征患儿(3~10岁),按照所用麻醉药物的不同,将其随机分为3组,分别为丙泊酚瑞芬太尼组(P-R组)、七氟醚与瑞芬太尼组(S-R组)、氯胺酮丙泊酚组(K-P组),每组20例。观察上述三种麻醉方法的效果及患儿在术中、术后的情况。结果:瑞芬太尼在小儿手术中具有更高的安全性和更少的麻醉并发症。结论:瑞芬太尼复合丙泊酚静脉麻醉用于小儿扁桃体和腺样体切除术,其诱导和苏醒迅速,术中患儿状态平稳,术后并发症少,安全、有效。
Objective: To investigate the safety and efficacy of three kinds of anesthesia in general anesthesia of pediatric tonsil and adenoidctomy. Methods: Sixty children (3-10 years old) with obstructive sleep apnea syndrome undergoing tonsillectomy and adenoidectomy were randomly divided into three groups according to the anesthetic drugs used: C Propofol remifentanil group (PR group), sevoflurane and remifentanil group (SR group) and ketamine propofol group (KP group), 20 cases in each group. Observe the effects of the above three anesthesia methods and children’s intraoperative and postoperative conditions. Results: Remifentanil had greater safety and fewer anesthetic complications in pediatric surgery. Conclusion: Remifentanil combined with propofol intravenous anesthesia for tonsil and adenotonsillectomy in children, the induction and wake up quickly, intraoperative status of children stable, less postoperative complications, safe and effective.