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目的:探讨瑞芬太尼复合异丙酚在小儿气管异物取出术中的麻醉效果。方法:选择拟在全麻下行异物取出术的患儿30例,随机分为瑞芬太尼复合异丙酚组(A组)和氯胺酮复合咪唑安之组(B组),观察两组麻醉过程中的血流动力学变化、麻醉效果。结果:两组的血流动力学指标中SPO2和RR各别时点表现不同,A组下降明显低于B组(P<0.05),清醒时间与哭闹发生率A组明显优于B组(P<0.05)。结论:瑞芬太尼复合异丙酚在异物取出术中可以安全有效使用。
Objective: To investigate the anesthetic effects of remifentanil combined with propofol during tracheal foreign bodies removal in children. Methods: Thirty children were enrolled in this study. They were randomly divided into remifentanil combined with propofol group (A group) and ketamine combined with midazolam group (B group). During the anesthesia in the two groups Hemodynamic changes, anesthetic effects. Results: The hemodynamic indexes of two groups showed different performance at different time points of SPO2 and RR, the decrease in group A was significantly lower than that in group B (P <0.05), the awake time and the incidence of crying in group A were significantly better than group B P <0.05). Conclusion: Remifentanil combined with propofol can be safely and effectively used in the removal of foreign body.