摘要
Abstract
Objective To detect the clinical ef icacy of equivalent dose of dezocine or fentanyl during child droperidol tonsillectomy surgery.Methods 60 elective droperidol tonsil ectomy surgery children patients aged 3~5 years,weighted 13~20 kg,ASAIwere selected and randomly divided into 2 groups with 30 in each,the dezocine group(group D)and the fentanyl group(group F).The 2 groups adopted intravenous inhalation anesthesia.Dezocine 0.1 mg/kg(group D)and fentanyl 2.0μg/kg(group F)were givrn with intravenous injection before 5 min of inserting tracheal catheter,Propofol 2.5mg/kg,Benzene sulfonyl cisatracurium 0.15mg/kg,and 8%Sevoflurane inhalation 2 min.Heart rate(HR)、mean arterial pressure(MAP)、pulse oxygen saturation(SpO2)、end tidal carbon dioxide patial pressure(ETCO2)、tidal volume(VT)、respiratory rate(RR)and situation of recovery period were recorded before induction(T0),1 min before inserting tracheal catheter(T1),immediately(T2)、5 min(T3)after inserting tracheal catheter and 1 min(T4)、5 min(T5)、15 min(T6)after pulting tracheal catheter.Results No significant dif erence was found between the 2 groups in operation time,anesthetic time, HR、MAP、SpO2 ( >0.05).Compared with at T0,the levels of ETCO2 at T4~T5 were increased in group D and F ( <0.05),the levels of RR at T4 were decreased significantly in group F ( <0.05);Compared with group F,the wake-up time was longer and the incidence of agitation at recovery period was lower in group D ( <0.05). Conclusion Dezocine was safty during child droperidol tonsil ectomy surgery and it could relieve the incidence of adverse ef ect post-operation compared with fentanyl.关键词
地佐辛/全身麻醉/小儿Key words
Dezocine/General anesthesia/Children
