| 摘要: |
| ［摘要］ 目的 观察不同剂量芬太尼复合七氟烷不插管全麻用于小儿日间手术的安全性。方法 选择该院2018-03～2019-01收治60例手术患儿，采用随机数字表法分为S组（七氟烷）、SF1组（七氟烷+芬太尼1 μg/kg）和SF2组（七氟烷+芬太尼1.5 μg/kg）三组，每组20例。七氟烷诱导入睡，三组分别给予生理盐水、芬太尼1 μg/kg和1.5 μg/kg复合维持，非插管面罩紧闭给氧通气。记录患者切皮体动率、切皮后生命征及苏醒时间。结果 术中患儿苏醒时间、血压、心率、切皮体动及七氟烷用量SF1组与SF2组显著低于S组(P<0.05)；托下颌比率三组无明显差异(P>0.05)。仅S组出现2例喉痉挛，经处理后缓解。结论 使用芬太尼复合七氟烷不插管麻醉可安全用于小儿日间手术，且提高患儿的麻醉后舒适度。 |
| 关键词: 不插管舒适化麻醉 小儿日间手术 快速康复 |
| DOI：10.3969/j.issn.1674-3806.2019.10.16 |
| 分类号:R 614 |
| 基金项目: |
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| Clinical observation on the safety of non-intubated comfortable anesthesia in children during daytime surgery |
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DONG Li, HUANG Yuan, ZENG Li, et al.
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Department of Anesthesiology, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China
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| Abstract: |
| ［Abstract］ Objective To observe the anesthetic effect and safety of different doses of fentanyl combined with sevoflurane for general anesthesia without intubation in children undergoing daytime surgery. Methods Sixty pediatric patients undergoing daytime surgery in our hospital were randomly divided into three groups(S group, SF1 group and SF2 group, with 20 cases in each group) by the random number table method. After sevoflurane induced sleep, the above three groups were given normal saline, fentanyl 1 μg/kg and 1.5 μg/kg as combined maintenance anesthesia, and the non-intubated mask was closed to give oxygen ventilation. The incidence of body tremor during skin incision, the vital signs and waking time of the patients after skin incision were recorded. Results The time of recovery during operation, the blood pressure, the heart rate and the incidence of body tremer during skin incision and the sevoflurane dosage in SF1 group and SF2 group was significantly lower than that in S group(P<0.05). There was no significant difference in the ratio of mandibular support among the three groups(P>0.05). However, there were 2 cases of laryngeal spasm in S group, which was relieved after treatment. Conclusion Fentanyl combined with sevoflurane can be safely used for non-intubated general anesthesia in children undergoing daytime surgery, and improve the comfort of children after anesthesia. |
| Key words: Non-intubated comfortable anesthesia Daytime surgery in children Quick recovery |
