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目的:探析七氟醚、瑞芬太尼不同麻醉持续方式在小儿下肢手术治疗中的影响效果。方法:随机选择2016年1月-2017年1月我院接受下肢手术的70例患儿作为研究对象,分为对照组与观察组,对照组予以瑞芬太尼麻醉维持,观察组予以七氟醚麻醉维持,对比分析两组患儿的麻醉时间、睁眼时间、苏醒躁动时间以及不良反应的发生情况。结果:对照组的麻醉时间(88.26±4.10)min、睁眼时间(14.24±2.14)min与观察组(麻醉时间(87.39±4.11)min、睁眼时间(14.10±2.09)min)相差不大,且不具有统计学意义(P<0.05);但苏醒躁动时间(8.78±1.46)min以及不良反应发生率(22.86%)均劣于观察组(苏醒躁动时间(4.30±1.15)min以及不良反应发生率(5.71%)),且其差异存在统计学意义(P<0.05)。结论:对于行下肢手术治疗的小儿而言,予用七氟醚行麻醉维持的整体效果要优于瑞芬太尼,且安全性相对要高,因而值得临床推广。
Objective: To investigate the effect of different anesthesia duration of sevoflurane and remifentanil in surgical treatment of pediatric lower extremities. Methods: Seventy patients with lower extremity surgery in our hospital from January 2016 to January 2017 were selected randomly as the control group and observation group. The control group was given remifentanil anesthesia, and the observation group was given heptafluoroethane Ether anesthesia maintenance, comparative analysis of two groups of children anesthesia time, eyes open time, wake up restlessness time and the occurrence of adverse reactions. Results: The anesthesia time (88.26 ± 4.10) min and the open eye time (14.24 ± 2.14) min in the control group were not significantly different from those in the observation group (87.39 ± 4.11) min and eyes open time (14.10 ± 2.09) min, (8.78 ± 1.46) min and the incidence of adverse reactions (22.86%) were lower than those in the observation group (4.30 ± 1.15 min awake) and adverse reactions Rate (5.71%)), and the difference was statistically significant (P <0.05). CONCLUSIONS: For children undergoing lower limb surgery, the overall effect of anesthesia with sevoflurane is better than that of remifentanil, and the safety is relatively high, which is worthy of clinical promotion.