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目的:探讨在小儿气管支气管异物取出术中异丙酚复合瑞芬太尼麻醉的应用。方法:收集于2011年4月~2013年4月入我院行气管支气管异物取出术的62例患儿的临床资料,对这些资料进行回顾性分析。按入院就诊时间将这些患儿分为观察组和对照组,每组包括患儿31例。观察组患儿采用的麻醉方法是异丙酚复合瑞芬太尼,对照组患儿采取的麻醉方法是异丙酚复合氯胺酮,比较两种麻醉及手术效果。结果:两组患儿术中最低SpO2观察组高于对照组;在并发症的发生率和手术之后患儿的苏醒时间方面,两组均差异显著,具有统计学意义(P<0.05)。结论:在小儿气管支气管异物取出术中,异丙酚复合瑞芬太尼麻醉可控制性强,也比较安全,是一种良好的麻醉方法。
Objective: To investigate the application of propofol and remifentanil anesthesia during pediatric tracheobronchial foreign body removal. Methods: The clinical data of 62 children admitted to our hospital from April 2011 to April 2013 for tracheobronchial foreign bodies were collected. The data were retrospectively analyzed. According to the time of admission, these children were divided into observation group and control group, each group included 31 cases of children. The anesthetic method used in the observation group was propofol combined with remifentanil. The anesthetic method used in the control group was propofol combined ketamine. The two anesthesia and surgical effects were compared. Results: The lowest SpO2 in the two groups was higher than that in the control group. There was significant difference between the two groups in the incidence of complications and the recovery time after surgery (P <0.05). Conclusion: In the removal of tracheobronchial foreign bodies in children, propofol and remifentanil can be controlled well and safer, which is a good anesthetic method.