本文選題：小兒麻醉 + 瑞芬太尼��； 參考：《當(dāng)代醫(yī)學(xué)》2016年07期

【摘要】：目的比較瑞芬太尼和芬太尼在小兒麻醉中的應(yīng)用效果。方法選取進(jìn)行麻醉手術(shù)的54例小兒患者作為研究對(duì)象,并將其隨機(jī)分為對(duì)照組和觀察組,每組27例。給予對(duì)照組芬太尼進(jìn)行麻醉,觀察組則使用瑞芬太尼。比較分析2組患兒各項(xiàng)血流動(dòng)力學(xué)指標(biāo)的變化情況和拔管、語(yǔ)言應(yīng)答所需時(shí)間。結(jié)果觀察組的收縮壓為(110.57±8.69)mmHg,舒張壓為(63.77±3.77)mmHg、心率為(101.39±5.92)次/min,對(duì)照組的相應(yīng)值為(126.17±9.03)mmHg、(72.01±4.58)mmHg、(114.92±8.73)次/min,觀察組的各項(xiàng)血流動(dòng)力學(xué)指標(biāo)均明顯低于對(duì)照組;觀察組的拔管時(shí)間為(16.81±4.05)min,語(yǔ)言應(yīng)答時(shí)間為(16.81±4.05)min,對(duì)照組的相應(yīng)值為(24.11±4.25)min、(26.94±3.19)min,觀察組的拔管和語(yǔ)言應(yīng)答時(shí)間也短于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論瑞芬太尼在小兒麻醉中效果顯著,值得臨床推廣應(yīng)用。
[Abstract]:Objective to compare the effect of remifentanil and fentanyl in pediatric anesthesia. Methods 54 pediatric patients undergoing anesthesia were randomly divided into control group and observation group with 27 cases in each group. The control group was anesthetized with fentanyl and the observation group with remifentanil. The changes of hemodynamic indexes and the time of extubation and speech response were compared between the two groups. Results the systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (RHR) were 110.57 鹵8.69 mm Hg, 63.77 鹵3.77 mm Hg and 101.39 鹵5.92 times / min in the observation group, and the corresponding values in the control group were 126.17 鹵9.03 鹵9.03 mm / h, 72.01 鹵4.58 mm / h, 114.92 鹵8.73 / min, respectively. The hemodynamic parameters in the observation group were significantly lower than those in the control group. The extubation time of the observation group was 16.81 鹵4.05 min, the language response time was 16.81 鹵4.05 min, and the corresponding value of the control group was 24.11 鹵4.25 min, 26.94 鹵3.19 min. The extubation and language response time of the observation group was also shorter than that of the control group (P 0.05). Conclusion remifentanil is effective in pediatric anesthesia and is worth popularizing.
【作者單位】： 江蘇省鹽城市響水縣人民醫(yī)院麻醉科;
【分類號(hào)】：R726.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 龔海霞;;瑞芬太尼、芬太尼用于小兒麻醉對(duì)血流動(dòng)力學(xué)及應(yīng)激影響的比較[J];中國(guó)醫(yī)藥指南;2013年36期

【共引文獻(xiàn)】

相關(guān)期刊論文 前2條

1 方秀春;李艷;;瑞芬太尼對(duì)小兒手術(shù)患者呼吸功能、應(yīng)激程度及血流動(dòng)力學(xué)的影響[J];海南醫(yī)學(xué)院學(xué)報(bào);2014年08期

2 汪文剛;;瑞芬太尼和芬太尼對(duì)小兒麻醉的血流動(dòng)力學(xué)影響分析[J];大家健康(學(xué)術(shù)版);2014年21期

【二級(jí)參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 陳貍，

本文編號(hào)：1957992