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目的 :探讨小儿外科手术中丙泊酚联合芬太尼麻醉对患儿呼吸循环的影响。方法 :选取择期外科手术患儿3~11岁60例,根据手术麻醉用药不同将其分为两组:观察组30例患儿给予丙泊酚联合芬太尼麻醉,对照组30例患儿给予丙泊酚联合异氟烷麻醉,观察并记录两组患儿麻醉期间血压、心率(HR)、呼吸频率(RR)以及血氧饱和度(Sp O2)指标变化,并统计患儿呼吸恢复时间、苏醒时间以及拔管时间。结果 :观察组患儿在麻醉前、术中及麻醉后的血压、HR、RR、SPO2指标均比较平稳,无明显变化,对照组变化明显;观察组患儿在自主呼吸恢复时间、苏醒时间以及拔管时间上均显著优于对照组。结论 :对于外科手术患儿,采用丙泊酚联合芬太尼麻醉对患儿呼吸循环系统无明显影响,具有安全和麻醉恢复快的优点,是一种安全有效的麻醉方式。
Objective: To investigate the effect of propofol combined with fentanyl anesthesia on respiratory cycle in pediatric surgery. Methods: Sixty children aged 3 to 11 years undergoing elective surgery were divided into two groups according to different anesthesia: 30 in the observation group were given propofol combined with fentanyl and 30 in the control group Propofol combined with isoflurane anesthesia was used to observe and record the changes of blood pressure, heart rate (HR), respiratory rate (RR) and oxygen saturation (Sp O2) during anesthesia in both groups. The respiratory recovery time, Wake up time and extubation time. Results: Before and after anesthesia, the blood pressure, HR, RR and SPO2 indexes of observation group were relatively stable without any significant changes, and the changes of the control group were obvious. The recovery time of spontaneous breathing, recovery time, Extubation time were significantly better than the control group. Conclusion: For children undergoing surgery, propofol combined with fentanyl has no significant effect on the respiratory system of children, which has the advantages of safety and quick recovery. It is a safe and effective method of anesthesia.