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目的研究观察七氟醚瑞芬太尼与喉罩应用于小儿眼科手术麻醉的效果。方法 40例患儿,3~10岁,面罩吸入七氟醚,静脉注射瑞芬太尼、顺式阿曲库铵诱导和维持,随机分为喉罩(LMA)通气组(L组)和气管导管(TT)通气组(T组),每组20例。结果 LMA或TT插入后和拔除后L组的MAP、HR显著低于T组(P<0.05),T组患儿术后清醒时间、拔管时间与离手术室时间较L组患儿长(P<0.05)。结论七氟醚瑞芬太尼与喉罩应用于小儿眼科手术麻醉血流动力学平稳,苏醒迅速。
Objective To observe the effect of sevoflurane remifentanil and laryngeal mask applied to pediatric ophthalmic surgery. Methods 40 cases of children aged 3 to 10 years old were enrolled in the mask with sevoflurane, intravenous remifentanil and cisatracurium. The rats were randomly divided into LMA group (L group) and trachea Catheter (TT) ventilation group (T group), 20 cases in each group. Results The MAP and HR of L group after LMA or TT insertion and L group were significantly lower than those of T group (P <0.05). The awake time, extubation time of T group were longer than that of L group P <0.05). Conclusion Sevoflurane remifentanil and laryngeal mask applied to pediatric ophthalmic anesthesia hemodynamics stable and rapid recovery.