论文部分内容阅读
目的:探讨芬太尼用于预防全凭静脉麻醉行腺样体和扁桃体切除术小儿术后躁动的临床效果。方法:选取行腺样体和扁桃体切除术小儿84例,采用随机抽样方法分为对照组和芬太尼组各42例。手术完成后对照组给予生理盐水静脉注射,而芬太尼组则给予0.25μg/kg芬太尼静脉注射,比较两组患儿术后躁动分级、苏醒时间、呼吸恢复正常时间及不同时间点的监测指标水平等。结果:芬太尼组患儿轻度躁动发生率高于对照组(71.4%vs 14.3%,P<0.01),中度躁动发生率低于对照组(26.2%vs69.0%,P<0.01),重度躁动发生率两组比较差异无统计学意义(P>0.05);两组患儿苏醒时间、呼吸恢复正常时间及不同时间点心率、收缩压、舒张压及脑电双频指数等监测指标比较差异均无统计学意义(P均>0.05)。结论:小剂量芬太尼静脉注射可有效预防全凭静脉麻醉行腺样体和扁桃体切除术小儿术后躁动,且对麻醉恢复及血流动力学无影响。
Objective: To investigate the clinical effect of fentanyl in the prevention of postoperative agitation in pediatric adenosine and tonsillectomy patients undergoing total intravenous anesthesia. Methods: Eighty-four children with adenotonsillectomy and tonsillectomy were selected and divided into control group and fentanyl group by random sampling. The control group received intravenous injection of saline while the fentanyl group received intravenous injection of 0.25μg / kg fentanyl after operation. The postoperative agitation classification, recovery time, respiration normal time and different time points Monitoring indicators and so on. Results: The incidence of mild agitation in the fentanyl group was significantly higher than that in the control group (71.4% vs 14.3%, P <0.01), moderate agitation was lower than that in the control group (26.2% vs 69.0%, P <0.01) (P> 0.05). The monitoring indexes such as heart rate, systolic blood pressure, diastolic blood pressure and EEG index in two groups were significantly higher than those in control group There was no significant difference between the two groups (P> 0.05). CONCLUSION: Intravenous injection of low-dose fentanyl can effectively prevent restlessness of pediatric adenosine and tonsillectomy anesthesia and recovery of anesthesia and hemodynamics.