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舒芬太尼联合七氟烷复合吸入麻醉在小儿腺样体肥大切除术中的应用效果评价

凤旭东 钟成跃 张杨 刘长卿 李雨恒

实用临床医药杂志2018,Vol.22Issue(3):90-92,3.
实用临床医药杂志2018,Vol.22Issue(3):90-92,3.DOI:10.7619/jcmp.201803025

舒芬太尼联合七氟烷复合吸入麻醉在小儿腺样体肥大切除术中的应用效果评价

Effect evaluation of sufentanil combined with sevoflurane inhalation anesthesia on treating children with resection of adenoidal hypertrophy

凤旭东 1钟成跃 1张杨 1刘长卿 1李雨恒1

作者信息

  • 1. 中国人民解放军第153医院麻醉科,河南郑州,450042
  • 折叠

摘要

Abstract

Objective To explore the effect of sufentanil combined with sevoflurane inhalation anesthesia on treating children with adenoidal hypertrophy resection.Methods A total of 58 children with adenoid hypertrophy were randomly divided into observation group and control group,29 cases in each group.The observation group was treated with sufentanil combined with sevoflurane inhalation anesthesia,and the control group was treated with propofol and remifentanil anesthesia.The extubation time and awakening time of the two groups were recorded,and the heart rate (HR) and mean arterial pressure (MAP) were compared between the two groups,and the adverse reactions 24 h after the operation were observed.Results In the observation group,extubation time and awakening time were significantly shorter than the control group (P < 0.05).At each time point,the MAP and HR in the observation group were stable,while MAP and HR immediately after intubation in the control group were significantly higher than that before induction (P < 0.05).No nausea and vomiting were observed 24 h after operation in both groups.There were 4 cases of bucking and restlessness (13.8%) in the observation group,which was significantly lower than 7 cases (24.1%) in the control group (P < 0.05).Conclusion Sufentanil combined with sevoflurane inhalation anesthesia for children with adenoidal hypertrophy resection is effective,which has advantages such as stable anesthesia effect,fast postoperative awakening and less complications.

关键词

舒芬太尼/七氟烷/腺样体肥大/腺样体切除术/麻醉效果

Key words

sufentanil/sevoflurane/adenoidal hypertrophy/adenoidectomy/anesthetic effect

分类

医药卫生

引用本文复制引用

凤旭东,钟成跃,张杨,刘长卿,李雨恒..舒芬太尼联合七氟烷复合吸入麻醉在小儿腺样体肥大切除术中的应用效果评价[J].实用临床医药杂志,2018,22(3):90-92,3.

实用临床医药杂志

1672-2353

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