论文部分内容阅读
目的比较异丙酚靶控全麻与异氟烷吸入全麻复合局部麻醉用于小儿扁桃体手术的效果。方法选择ASAⅠ～Ⅱ级、年龄6～12岁、择期行扁桃体摘除术小儿40例,随机分为观察组(P)组和对照组(I)。两组采用相同的诱导方法和药物。P组采用瑞芬太尼-丙泊酚靶控输注维持麻醉,I组采用异氟烷吸入维持麻醉,所有患儿术中均辅助扁桃体局部麻醉。观察围术期两组血流动力学变化,自主呼吸恢复、气管拔管和清醒时间,苏醒后躁动和恶心呕吐的发生率,以及清醒后疼痛评分。结果P组患者麻醉术中循环波动小,苏醒及清醒快,恶心呕吐及苏醒期躁动的发生较I组少。结论瑞芬太尼-异丙酚靶控全麻复合局麻更适合小儿扁桃体摘除手术。
Objective To compare the effect of propofol target-controlled general anesthesia and isoflurane inhalation general anesthesia combined with general anesthesia on pediatric tonsillectomy. Methods Forty ASAⅠ ~ Ⅱ patients aged 6-12 years were enrolled in this study. Totally 40 children with tonsillectomy were randomly divided into observation group (P) and control group (I). Both groups used the same induction methods and drugs. Group P received remifentanil-propofol target-controlled infusion to maintain anesthesia, group I received inhalation of isoflurane to maintain anesthesia, and all children underwent assisted local anesthetic tonsil anesthesia. The changes of hemodynamics, spontaneous respiration, tracheal extubation and awake time, the incidence of agitation and nausea and vomiting after awake, and pain scores after awake were observed. Results The anesthesia in group P had less fluctuation in circulation, faster recovery and awakening, less nausea and vomiting and less restlessness than those in group I. Conclusion Remifentanil-propofol target-controlled general anesthesia combined with local anesthesia is more suitable for pediatric tonsillectomy.