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目的比较喉罩-七氟醚、雷米芬太尼与喉罩-丙泊酚、雷米芬太尼两种麻醉方法在小儿短小手术应用中的优缺点。方法 2009年39月,将40例择期行斜疝手术或隐睾下降固定术的患儿,随机分为A、B组,各20例。A组施喉罩+七氟醚+雷米芬太尼,B组施喉罩+丙泊酚+雷米芬太尼。观察诱导时间、术中生命体征、苏醒时间、麻醉后恢复室(PACU)停留时间、围术期并发症。结果麻醉前两组患儿血压及心率无统计学差异,麻醉后B组各时点血压及心率明显低于麻醉前水平,且B组各时点血压及心率明显低于A组,A组血压及心率在麻醉前后比较无统计学差异。B组麻醉诱导时间明显短于A组。A组术后躁动发生率明显高于B组。结论与喉罩+丙泊酚+雷米芬太尼相比,喉罩+七氟醚+雷米芬太尼具有对全身影响小、麻醉平稳等特点,但麻醉诱导时间长,术后躁动发生率高。
Objective To compare the advantages and disadvantages of two anesthesia methods of laryngeal mask-sevoflurane, remifentanil, laryngeal mask-propofol and remifentanil in short-term pediatric surgery. Methods In March 2009, 40 children undergoing elective indirect hernia surgery or cryptorchidism descending fixation were randomly divided into group A and group B, with 20 in each. A group of laryngeal mask + sevoflurane + remifentanil, B group laryngeal mask + propofol + remifentanil. Observation of induction time, intraoperative vital signs, wake time, anesthesia recovery room (PACU) residence time, perioperative complications. Results There was no significant difference in blood pressure and heart rate between the two groups before anesthesia. After anesthesia, the blood pressure and heart rate in group B were significantly lower than those before anesthesia, and the blood pressure and heart rate in group B were significantly lower than those in group A And heart rate before and after anesthesia was no significant difference. B group anesthesia induction time was significantly shorter than the A group. A group of postoperative agitation was significantly higher than the B group. Conclusion Compared with laryngeal mask + propofol + remifentanil, laryngeal mask + sevoflurane + remifentanil has small effect on the whole body and stable anesthesia. However, induction of anesthesia for a long time and postoperative agitation High rate.