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目的:比较瑞芬太尼、异丙酚全凭静脉麻醉用于小儿麻醉与静吸复合麻醉对血流动力学的影响。方法:选择30例行腺样体切除术的患儿随机分为全静脉麻醉(A)组和静吸复合麻醉(B)组,每组15例,A组静脉输注瑞芬太尼、异丙酚全凭静脉麻醉维持,B组吸入异氟醚及静脉输注异丙酚维持麻醉,记录术中的血压(BP)、心率(HR)、脉搏氧饱和度(SpO2)。结果:B组术中的HR较A组增快。结论:瑞芬太尼、异丙酚全凭静脉麻醉用于小儿与静吸复合麻醉比较是一种较好的麻醉方法。
Objective: To compare the effects of remifentanil and propofol total intravenous anesthesia on hemodynamics in pediatric anesthesia combined with inhalation anesthesia. Methods: A total of 30 children undergoing adenoidectomy were randomly divided into total intravenous anesthesia (A) group and intravenous combined anesthesia (B) group, 15 cases in each group. Intravenous infusion of remifentanil group A Propofol was maintained by intravenous anesthesia. Isoflurane was inhaled in group B and propofol was infused intravenously to maintain anesthesia. Intraoperative blood pressure (BP), heart rate (HR) and pulse oxygen saturation (SpO2) were recorded. Results: HR in group B was faster than that in group A. Conclusion: Remifentanil and propofol combined with intravenous anesthesia is a good anesthetic method for pediatric anesthesia combined with inhalation anesthesia.