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目的探讨瑞芬太尼复合丙泊酚用于小儿扁桃体腺样体摘除术时术后恢复情况。方法选择50例择期行扁桃体腺样体摘除术患儿,随机分为两组:A组和B组,A组以瑞芬太尼0.3μg/(kg·min)+丙泊酚6 mg/(kg·min)静脉泵注维持麻醉;B组吸入氧气(2 L/min)+七氟烷(3%)维持麻醉,记录各组患儿术中HR、BP及术毕自主呼吸恢复、气管导管拔除及PACU停留时间,术后不良反应的发生情况。结果手术结束后A组自主恢复时间、拔管时间及PACU留观时间与B组相比差异无统计学意义(P>0.05),术后呛咳发生率A组为8%,明显少于B组(40%),术后躁动发生率A组为4%,明显少于B组(28%)。结论瑞芬太尼复合丙泊酚用于小儿扁桃体腺样体摘除术,苏醒平稳,更安全。
Objective To investigate the effect of remifentanil combined with propofol on the recovery of pediatric tonsil adenoidctomy. Methods Fifty children undergoing elective adenoidectomy were randomly divided into two groups: group A and group B. Group A received remifentanil 0.3 μg / (kg · min) and propofol 6 mg / ( kg · min) were intravenously injected to maintain anesthesia. Group B received inhaled oxygen (2 L / min) and sevoflurane (3%) to maintain anesthesia. HR, BP, and spontaneous resuscitation, Removal and PACU residence time, postoperative adverse reactions occurred. Results There was no significant difference in the time of spontaneous recovery, extubation time and PACU viewing time in group A after operation (P> 0.05), and the incidence of postoperative cough was 8% in group A, which was significantly lower than that in group B (40%). The incidence of postoperative agitation in group A was 4%, which was significantly lower than that in group B (28%). Conclusion Remifentanil combined with propofol is suitable for adenotonsillectomy in children with stable recovery and safety.