摘要
Abstract
Objective Discussion on the application of remifentanil and sevoflurane in liver dysfunction operation in infants . Methods Infants with congenital choledochal cyst operation in 40 cases, were randomly divided into two groups, remifentanil and sevoflurane to maintain anesthesia group (group R) and simple anesthesia maintenance group (group S).MAP、 HR、 CETSev were abserved before induction (T0), before skin incision (T1), 10 min after skin incision (T2), 60 min after operation beginning (T3), sewing leather (T4) . The operation time, breathing recovery time, extubation time, awake time of Aldrete score of 10 points were recorded. Results In group R, HR and MAP were lower at T1~T4 than that at T0. In group S, HR and MAP were lower at T1~T3 than that at T0 ( <0.05). HR and MAP were lower at T2~T4 than those in group S ( <0.05). In group R, CETSev was lower at T2~T4 than those in group S ( <0.05).There no significant dif erence in operation time in group R and group S ( >0.05). In group R , breathing recovery time、extubation time awake time of Aldrete score of 10 points were lower than those in group S ( <0.05). Conclusion Remifentanil and sevoflurane in liver dysfunction in infants operation can provide satisfactory anesthetic ef ect. The children quickly regained consciousness after the surgery.Therefore, Remifentainil and sevoflurane is suitable for the infant of liver function obstacle .关键词
瑞芬太尼/七氟醚/婴儿/肝功能障碍Key words
Remifentanil/Sevoflurane/Infant/Liver dysfunction
