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目的:观察分析小儿手术七氟醚复合瑞芬太尼麻醉效果。方法:选取我院从2011年3月~2012年3月收治的需要进行腹腔镜手术的患儿共70例。随机将患者分为观察组和对照组2组,其中观察组患者采用七氟醚联合瑞芬太尼作为麻醉方案。对照组患者采用常规的丙泊酚联合瑞芬太尼的联合麻醉方案。结果:观察组患者在插管时和拔管时的SBP和HR均要低于对照组患者,2组对比有显著性差异(P<0.01);观察组患者的自主呼吸恢复时间,睁眼时间和拔管时间均明显要短于对照组患者,2组对比有显著性差异(P<0.01)。结论:七氟醚复合瑞芬太尼能够保持患儿在麻醉过程中的血流水平的稳定,并且术后的苏醒和恢复时间较短。
Objective: To observe the anesthetic effect of sevoflurane and remifentanil in pediatric surgery. Methods: A total of 70 children who needed laparoscopic surgery from March 2011 to March 2012 in our hospital were selected. The patients were randomly divided into two groups: observation group and control group. Sevoflurane and remifentanil were used as the anesthetic regimen in the observation group. Patients in the control group received conventional propofol plus remifentanil in combination with anesthesia. Results: The SBP and HR of the observation group during intubation and extubation were lower than those of the control group, there was significant difference between the two groups (P <0.01); the spontaneous breathing recovery time, And extubation time were significantly shorter than the control group patients, there was significant difference between the two groups (P <0.01). CONCLUSION: Sevoflurane and remifentanil can keep the blood flow steady during anesthesia, and have a shorter recovery and recovery time after operation.