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目的对快通道麻醉在先天性心脏病手术中的疗效进行研究和分析。方法随机选择本院近期收治的先天性心脏病患者91例ASAⅠ～Ⅲ级择期手术患者,均采用七氟醚吸入及小剂量丙泊酚诱导的方法。结果麻醉诱导顺利,效果满意。其可减少阿片类药物的应用,同时患者术后肺部并发症较少、心肺功能改善效果较好,患者在SICU停留的时间较短,住院费用减少。结论快通道麻醉应用于先天性心脏病手术,能够有效起到麻醉效果,减少患者并发症,手术效果较好,具有较高临床使用和推广价值。
Objective To study and analyze the efficacy of fast-track anesthesia in congenital heart surgery. Methods A total of 91 patients with congenital heart disease (ASA Ⅰ ~ Ⅲ) undergoing elective cardiac surgery were enrolled in this study. All patients were treated with sevoflurane inhalation and low-dose propofol. Results Anesthesia induced smoothly and the result was satisfactory. It can reduce opioid use, while patients with less postoperative pulmonary complications, better cardiopulmonary function, patients with shorter stay in the SICU, reduced hospitalization costs. Conclusion The application of fast-track anesthesia in congenital heart disease surgery can effectively play an anesthetic effect and reduce the complication of patients. The operative effect is better and has higher clinical use and promotion value.