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目的观察静吸复合麻醉在小儿先天性心脏病介入手术中应用的临床效果。方法择期行先天性心脏病介入手术患儿60例,随机分为两组(n=30):静吸复合麻醉组(P组),七氟醚吸入麻醉组(S组)。所有患儿麻醉诱导均吸入8%七氟醚,意识消失后给予芬太尼2μg/kg,罗库溴铵0.5mg/kg,诱导成功后置入喉罩。麻醉维持:P组静脉注射异丙酚6~8mg·kg-1·h-1,S组吸入3%~4%七氟醚。记录患儿术中HR、MAP、SpO2及术后苏醒情况和不良反应。结果两组各时点的MAP和HR差异没有统计学意义。苏醒期躁动发生率P组(10%)与S组(30%)与比较有统计学意义(P<0.05),P组苏醒质量优于S组。结论静吸复合麻醉诱导平稳,术中循环稳定,术毕苏醒迅速完全,可安全有效地应用于小儿先天性心脏病介入手术。
Objective To observe the clinical effect of combined inhalation anesthesia in children with congenital heart disease interventional surgery. Methods Sixty children with elective cardiac intervention were randomly divided into two groups (n = 30): inhalation anesthesia group (group P) and sevoflurane inhalation anesthesia group (group S). All children were induced by inhalation of anesthesia 8% sevoflurane, fentanyl fentanyl 2μg / kg, rocuronium 0.5mg / kg, after induction of laryngeal mask placement. Anesthesia was maintained: propofol 6-8 mg · kg-1 · h-1 in group P and 3% -4% sevoflurane in group S. Record HR, MAP, SpO2 and postoperative wakefulness and adverse reactions in children. Results There was no significant difference in MAP and HR between the two groups at each time point. The incidence of restlessness in recovery group P (10%) was significantly higher than that in group S (30%) (P <0.05), and the recovery quality in group P was better than that in group S. Conclusions Static inhalation combined anesthesia induction of stable, stable intraoperative circulation, recovery quickly and completely recovered, safe and effective in pediatric congenital heart disease interventional surgery.