喉罩-超短效麻醉药在小儿短小手术中的应用_West China Medical Journal

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戴贵茂 , 李秀泽 , 李卫

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Keywords：

喉罩; 七氟醚; 雷米芬太尼; 丙泊酚; 小儿手术

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【摘要】　目的　比较喉罩-七氟醚、雷米芬太尼与喉罩-丙泊酚、雷米芬太尼两种麻醉方法在小儿短小手术应用中的优缺点。　方法　 2009年3-9月，将40例择期行斜疝手术或隐睾下降固定术的患儿，随机分为A、B组，各20例。A组施喉罩+七氟醚+雷米芬太尼，B组施喉罩+丙泊酚+雷米芬太尼。观察诱导时间、术中生命体征、苏醒时间、麻醉后恢复室（PACU）停留时间、围术期并发症。　结果　麻醉前两组患儿血压及心率无统计学差异，麻醉后B组各时点血压及心率明显低于麻醉前水平，且B组各时点血压及心率明显低于A组，A组血压及心率在麻醉前后比较无统计学差异。B组麻醉诱导时间明显短于A组。A组术后躁动发生率明显高于B组。　结论　与喉罩+丙泊酚+雷米芬太尼相比，喉罩+七氟醚+雷米芬太尼具有对全身影响小、麻醉平稳等特点，但麻醉诱导时间长，术后躁动发生率高。

Citation： 戴贵茂,李秀泽,李卫. 喉罩-超短效麻醉药在小儿短小手术中的应用. West China Medical Journal, 2010, 25(12): 2260-2262. doi: Copy

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1. 　李师阳, 姚伟瑜, 肖全胜, 等. 患儿吸入七氟醚麻醉诱导的效果[J]. 中华麻醉学杂志, 2007, 27(2): 186.
2. 　郑洪, 谭朝华. 喉罩下吸入麻醉加骶麻在小儿尿道下裂成形术中的应用[J]. 临床小儿外科杂志, 2007, 6(1): 38-39.
3. 　Oczenski W, Krenn H, Dahaba AA, et al. Hemodynamic and catecholamine stress responses to insertion of the Combitube, laryngeal mask airway or tracheal intubation[J]. Anesth Analg, 1999, 88(6): 1389-1394.
4. 　Ross AK, Davis PJ, Deal GDEL, et al. Pharmacokinetics of remifentanil in anesthetized pediatric patient s undergoing elective surgery or diagnostic procedures[J]. Anesth Analg, 2001, 93(6): 1393-1401.
5. 　Spahr-Schopfer IA, Bissonnette B, Hartley EJ. Capnometry and the pediatric laryngeal mask airway[J]. Can J Anaesth, 1993, 40(4): 1038-1043.
6. 　Murat I, Billard V, Vernois J, et al. Pharmacokinetics of propofol after a single dose in children aged 1-3 years with minor burns. Comparison of three data analysis approaches[J]. Anesthesiology, 1996, 84(3): 526-532.
7. 　Martlew RA, Meakin G, Wadsworth R, et al. Dose of propofol for laryngeal mask airway insertion in children: effect of premedication with midazolam[J]. Br J Anaesth, 1996, 76(2): 308-309.

West China Medical Journal

喉罩-超短效麻醉药在小儿短小手术中的应用

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