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目的 比较瑞芬太尼、芬太尼复合丙泊酚在先天性白内障手术中的应用效果.方法 选取2015年3月-2016年4月收治的70例先天性白内障患儿,随机分成两组,每组35例.对照组采用芬太尼复合丙泊酚静脉麻醉,观察组采用瑞芬太尼复合丙泊酚静脉麻醉.比较两组临床指标、麻醉效果.结果 对照组拔管时间和意识恢复时间明显长于观察组,差异显著(P＜0.05);对照组麻醉效果优良率(77.14％)明显低于观察组(97.14％),差异显著(P＜0.05).结论 瑞芬太尼复合丙泊酚在先天性白内障手术中应用效果明显优于芬太尼复合丙泊酚,麻醉效果显著,并能有效缩短患儿拔管和意识恢复时间,在小儿眼科手术中具有较高的应用价值.“,”Objective To compare the effect of fentanyl and fentanyl compound propofol in congenital cataract surgery.Methods Selected during March 2015-April 2016 treated 70 cases of children with congenital cataract,randomly divided them into two groups,each group of 35 cases.Control group adopts compound fentanyl propofol intravenous anesthesia,the observation group compound fentanyl propofol intravenous anesthesia.Compare two groups of clinical indicators,anesthetic effect.Results The control group decannulation time and consciousness recovery time significantly longer than those of the observation group,significant difference (P ＜ 0.05);The excellent rate (77.14％) in control group was significantly lower than that of the observation group (97.14％),significant difference (P ＜ 0.05).Conclusion Ruifentanyl compound fentanyl propofol in congenital cataract surgery is obviously better than compound fentanyl propofol,anesthesia effect is remarkable,and can effectively shorten the tube drawing and consciousness recovery time,has higher application value in children in the pediatric eye surgery.