[1]杨永斌,杨秀梅.芬太尼复合丙泊酚麻醉在小儿支气管异物取出术中的应用效果[J].陕西医学杂志,2019,(7):882-884,889.
　YANG Yongbin,YANG Xiumei..Effect of fentanyl combined with propofol anesthesia on removal of foreign bodies in children[J].,2019,(7):882-884,889.
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芬太尼复合丙泊酚麻醉在小儿支气管异物取出术中的应用效果
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年7期
页码:
882-884,889
栏目:
临床研究
出版日期:
2019-07-05

文章信息/Info

Title:
Effect of fentanyl combined with propofol anesthesia on removal of foreign bodies in children
文章编号:
DOI:10.3969/j.issn.1000-7377.2019.07.019
作者:
杨永斌; 杨秀梅
解放军第十二医院麻醉科(喀什844200)
Author(s):
YANG Yongbin;  YANG Xiumei.
Department of Anesthesiology, The 12th Hospital of the People's Liberation Army (Kashi 844200)
关键词:
小儿支气管异物取出术; 芬太尼; 丙泊酚; 不良反应;  心率; 苏醒时间
Keywords:
Key words Bronchial foreign body removal in children;  Fentanyl;  Propofol; Adverse reactions; Heart rate; Recovery time
分类号:
R768.13
文献标志码:
A
摘要:
摘 要 目的：分析芬太尼复合丙泊酚麻醉在小儿支气管异物取出术中的应用价值。方法：将66例行支气管异物取出术的患儿根据麻醉方法分为两组，对照组32例行丙泊酚联合氯胺酮麻醉，观察组34例行丙泊酚复合芬太尼麻醉，比较两组麻醉效果、心率及血压变化情况、不良反应发生情况。结果：两组下颌松弛理想、麻醉效果满意、声门开放率、肢体反应与气道发生发生率比较组间均有明显差异（P＜0.05）。术中观察组心率与血压波动较小，对照组心率与血压波动明显。组间对比显示，在麻醉后、插镜时、取镜时、手术完成时观察组心率明显低于对照组（P＜0.05），收缩压与舒张压明显高于对照组（P＜0.05）；观察组手术时间明显短于对照组，患儿术后苏醒时间（26.31±4.58）min明显短于对照组（42.75±4.62）min，不良反应发生率2.94%明显低于对照组的21.88%（P＜0.05）。结论：芬太尼复合丙泊酚麻醉用于小儿支气管异物取出术，可维持术中患儿心率及血压的稳定，降低不良反应发生风险，且可缩短患儿苏醒时间。
Abstract:
Abstract Objective: To analyze the value of fentanyl combined with propofol anesthesia in the removal of foreign bodies in children. Methods: 66 cases of children undergoing bronchial foreign body removal were divided into two groups according to the anesthetic method. The control group (32 cases) received propofol combined with ketamine anesthesia, while the observation group (34 cases) received propofol combined with fentanyl anesthesia. Results:There were significant differences in mandibular relaxation, anesthesia effect, glottis opening rate, limb reaction and airway incidence between the two groups (P＜0.05).The fluctuation of heart rate and blood pressure in the observation group was small, while in the control group, the fluctuation of heart rate and blood pressure was obvious，When taking the mirror, The heart rate, systolic and diastolic blood pressure in the observation group were significantly lower than those in the control group (P＜0.05), The operation time of the observation group was significantly shorter than that of the control group，and the recovery time was 26.31±4.58 minutes after operation in the observation group, which was significantly shorter than that in the control group (42.75±4.62) min, and the incidence of adverse reactions in the observation group was significantly lower than that in the control group (2.94%). Conclusion: fentanyl combined with propofol anesthesia can be used to remove foreign bodies in children's bronchus. It can maintain the stability of heart rate and blood pressure, reduce the risk of adverse reactions, and shorten the recovery time.

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更新日期/Last Update: 2019-07-12