本文選題：麻醉 + 全身　； 參考：《解放軍醫(yī)學(xué)雜志》2014年09期

【摘要】：目的探討耳鼻喉科應(yīng)用低溫等離子技術(shù)行小兒腺樣體切除、扁桃體消融手術(shù)的全身麻醉管理方法。方法 2013年9-12月在解放軍總醫(yī)院第一附屬醫(yī)院擇期應(yīng)用低溫等離子技術(shù)行腺樣體切除、扁桃體消融術(shù)的患兒60例,均為ASAⅠ級(jí),隨機(jī)分為兩組:靜吸復(fù)合麻醉組(CIIA組,n=30),應(yīng)用丙泊酚、瑞芬太尼持續(xù)泵入,復(fù)合吸入七氟醚維持麻醉;單純靜脈麻醉組(TIVA組,n=30),單純應(yīng)用丙泊酚、瑞芬太尼持續(xù)泵入維持麻醉。記錄兩組患兒術(shù)中血流動(dòng)力學(xué)變化,蘇醒拔管及送出手術(shù)室的時(shí)間,并應(yīng)用小兒麻醉蘇醒期躁動(dòng)量化評(píng)分表(PAED)評(píng)價(jià)蘇醒期躁動(dòng)等情況。結(jié)果兩組患兒術(shù)中血流動(dòng)力學(xué)變化差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。TIVA組丙泊酚及瑞芬太尼總用量[分別為10.5±3.4mg/(kg.h)、16.1±5.3μg/(kg.h)]均明顯高于CIIA組[分別為6.6±2.8mg/(kg.h)、10.4±4.2μg/(kg.h),P0.05]。TIVA組患兒蘇醒拔管及送出手術(shù)室時(shí)間(分別為8.8±3.7min、6.2±2.9min)均明顯短于CIIA組(分別為19.8±4.3min、13.7±5.2min,P0.05)。TIVA組患兒發(fā)生蘇醒期躁動(dòng)的比例(1/30)明顯低于CIIA組(9/30,P0.05)。結(jié)論對(duì)于應(yīng)用低溫等離子技術(shù)行腺樣體切除、扁桃體消融術(shù)的患兒,氣管插管后僅用靜脈麻醉可明顯縮短蘇醒時(shí)間,蘇醒期躁動(dòng)發(fā)生率較低,是一種安全、可行、便捷的麻醉管理方法。
[Abstract]:Objective to investigate the general anesthesia management of adenoidectomy and tonsillectomy in children with hypothermia plasma technique in otolaryngology. Methods from September to December 2013, 60 children with adenoidectomy and tonsillectomy in the first affiliated Hospital of PLA General Hospital were treated with hypothermia plasma technique, all of them were ASA 鈪，

本文編號(hào)：2075027