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目的研究小儿扁桃体切除术用小剂量罗库溴铵(0.3 mg/kg)诱导的可行性。方法 160例行扁桃体切除术的小儿患者,随机分成实验组和对照组,每组80例。实验组应用小剂量罗库溴铵(0.3 mg/kg),对照组应用正常剂量罗库溴铵(0.6 mg/kg)进行麻醉诱导。对比两组治疗效果。结果实验组插管时间为(151.00±18.80)s,明显高于对照组的(62.50±2.17)s(P<0.05);实验组拔管时间明显短于对照组(P<0.05);两组患儿插管评分、麻醉诱导中心动过缓及低血压的发生例数比较差异无统计学意义(P>0.05)。结论小剂量罗库溴铵应用于小儿扁桃体切除术,可以提供满意的气管插管条件。
Objective To study the feasibility of induction of small doses of rocuronium (0.3 mg / kg) in pediatric tonsillectomy. Methods 160 pediatric patients with tonsillectomy were randomly divided into experimental group and control group, 80 cases in each group. Low-dose rocuronium (0.3 mg / kg) was used in the experimental group and a normal dose of rocuronium (0.6 mg / kg) was used in the control group for induction of anesthesia. Compare the two groups treatment effect. Results The intubation time in the experimental group was (151.00 ± 18.80) s, which was significantly higher than that in the control group (62.50 ± 2.17) s (P <0.05). The extubation time in the experimental group was significantly shorter than that in the control group (P <0.05) Child intubation score, anesthesia induced bradycardia and hypotension no significant difference in the number of cases (P> 0.05). Conclusions Low dose rocuronium is used in pediatric tonsillectomy to provide satisfactory endotracheal intubation conditions.