摘要
Abstract
Objective: To observe the anaesthesia effect of the foreign body extraction in trachea of children by propofol combined with remifentanil or ketamine intravenous anaesthesia. Method: 40 childrenwound be performed for tracheal foreign body extraction, were randomly divided into two groups: propofol -ketamine group ( group K, n = 20 ) and propofol-remifentanil group ( group R, n = 20 ). HR, MAP, SpO2, RR were recorded during anesthesia. To record the perioperative and postoperative adverse reaction: cough, laryngospasm, breathholding, SpO2 < 90% , PONV, glossocoma, dysphoria. The number of bronchofiber-scope get in and out of trachea was recorded, and then recorded the operation time and anesthesia recovery time. Result: There's no statistical significance in MAP, HR, SpO2 and RR within the group or between two groups. Group K in comparison with group R concerning the incidence of cough, breath holding, PONV, dysphoria were higher ( P<0. 05 ). The number of bronchofiberscope get in and out of tracheal, group K was more than group R ( P<0. 05 ). The comparison of the operation time and anesthesia recovery time group K was longer than group R ( P<0. 05 ). Conclusion: Propofol combined remifentanil be used safely and effectively in total intravenous anaesthesia of children undergoing tracheal foreign body extraction, decrease the adverse reaction, the operation time and anesthesia recovery time was shorter.关键词
气管异物/丙泊酚/瑞芬太尼/氯胺酮Key words
Tracheal foreign body/ Propofol/ Remifentanil/ Ketamine
