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心脏手术病人围术期应激反应控制是否得当直接影响到病人的恢复和预后。中、大剂量芬太尼等阿片类镇痛药复合麻醉是抑制心脏手术病人应激反应的传统方法,但其存在术后辅助通气时间长,拔管延迟的缺点。瑞芬太尼是一种超短效阿片类镇痛药,镇痛作用强、代谢快、长时间输注无蓄积。本研究拟通过观察瑞芬太尼或小剂量芬太尼复合麻醉下室间隔修补术患儿围术期应激反应的程度,评价这两种麻醉方法用于心脏外科手术的效果。
Perioperative cardiac response to stress control in patients undergoing cardiac surgery has a direct impact on patient recovery and prognosis. Medium and large doses of fentanyl and other opioid analgesics compound anesthesia is a traditional method of inhibiting stress response in patients undergoing cardiac surgery, but there are shortcomings of postoperative auxiliary ventilation for a long time, extubation delay. Remifentanil is a kind of ultra-short-acting opioid analgesics with strong analgesic effect, fast metabolism and long-term infusion without accumulation. This study intends to observe the effects of remifentanil or low-dose fentanyl anesthesia on perioperative stress response in children with septal repair, evaluation of the two anesthesia for cardiac surgery results.