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目的:观察小儿斜视手术中不同病人自控镇痛麻醉的临床效果。方法:选取需进行小儿斜视手术的患者以随机的方式分成局麻组与自控镇痛组,其中自控镇痛组中包括芬太尼加丙泊酚组(芬太尼组)、瑞芬太尼加丙泊酚组(瑞芬太尼组)和舒芬太尼加丙泊酚组(舒芬太尼组),以上每组各30例患者。分别进行麻醉,观察镇痛效果、患者满意舒适度、呼吸抑制情况进行观察比较。结果:手术结束后自控镇痛3组患者的满意舒适度均高于局麻组(P<0.05)。自控镇痛3组比较,舒芬太尼组和瑞芬太尼组患者的满意舒适度均高于芬太尼组(p<0.05),但瑞芬太尼组患者的呼吸抑制率明显高于舒芬太尼组。结论:在进行小儿斜视手术时,应用自控镇痛技术可对患者的有效治疗及满意舒适度起到极为重要的作用。舒芬太尼复合丙泊酚是病人自控镇痛在小儿斜视手术中的最佳组合,是安全有效的。
Objective: To observe the clinical effects of controlled analgesia and anesthesia in different patients in pediatric strabismus surgery. Methods: Patients undergoing pediatric strabismus surgery were randomly divided into local anesthesia group and controlled analgesia group. The controlled analgesia group consisted of fentanyl plus propofol group (fentanyl group), remifentanil group Propofol group (remifentanil group) and sufentanil plus propofol group (sufentanil group), each of above 30 patients in each group. Respectively anesthesia, analgesic effect observed, patient satisfaction comfort, respiratory depression were observed and compared. Results: The satisfactory comfort of three groups after operation was higher than that of local anesthesia group (P <0.05). Compared with fentanyl group (p <0.05), patients with sufentanil group and remifentanil group had better respiratory comfort than those with fentanyl group Taii group. Conclusion: In pediatric strabismus surgery, the application of controlled analgesia can play an extremely important role in the effective treatment and satisfactory comfort of patients. Sufentanil combined with propofol is a patient-controlled analgesia in pediatric strabismus surgery the best combination is safe and effective.