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目的:观察舒芬太尼对小儿腹腔镜手术后麻醉恢复质量的影响。方法:选择腹股沟斜疝、鞘膜积液施行择期腹腔镜手术治疗的患儿60例,分芬太尼组(F组)和舒芬太尼组(S组),每组30例。麻醉诱导时F组静脉注射芬太尼4μg/kg,S组静脉注射舒芬太尼0.5μg/kg,观察记录基础值(T1)、拔管前(T2)、拔管后1 min(T3)、拔管后3 min(T4)的收缩压(SBP)、心率(HR),记录自主呼吸恢复时间、苏醒时间、镇静躁动评分(SAS)。结果:F组内各时点的SBP差异有统计学意义(P<0.05),两组内的各时点HR及S组内的各时点SBP差异无统计学意义(P>0.05);两组患儿自主呼吸恢复时间、SAS差异无统计学意义(P>0.05)。S组苏醒时间短于F组,差异有统计学意义(P<0.05)。结论:舒芬太尼应用于小儿腹腔镜手术能有效地抑制气管拔管的应激反应,镇痛作用强,苏醒质量高。
Objective: To observe the effect of sufentanil on the quality of anesthesia recovery after laparoscopic surgery in children. Methods: Sixty children with fenestration, fentanyl group (F group) and sufentanil group (S group) were treated with elective indirect laparoscopic inguinal hernia and hydrocele. At the time of anesthesia induction, fentanyl 4μg / kg was intravenously injected in group F, sufentanil 0.5μg / kg was intravenously injected in group S, and baseline values T1, T2, 1 min after extubation T3, Systolic blood pressure (SBP), heart rate (HR), recovery spontaneous breathing time, recovery time and sedation restlessness score (SAS) at 3 min after extubation. Results: There were significant differences in SBP between groups at each time point (P <0.05), there was no significant difference in HR between SB and SBP at each time point in both groups (P> 0.05); two Group spontaneous breathing recovery time, SAS difference was not statistically significant (P> 0.05). The recovery time of S group was shorter than that of F group, the difference was statistically significant (P <0.05). Conclusion: Sufentanil can effectively inhibit the stress response of tracheal extubation in pediatric laparoscopic surgery, with strong analgesic effect and high recovery rate.