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目的观察瑞芬太尼复合丙泊酚靶控输注用于小儿腺样体切除术的麻醉效果。方法腺样体切除术患儿36例,A组采用瑞芬太尼复合丙泊酚靶控输注诱导和维持,B组采用常规诱导,瑞芬太尼复合丙泊酚恒速维持。观察患儿入室、插管即刻、插管后3min、手术开始、拔管、拔管后3min的血压心率变化,及拔管、苏醒等情况。结果 A组平均动脉压和心率在插管即刻,手术开始比B组同时间点值波动较小,差异有统计学意义(P<0.05)。结论瑞芬太尼复合丙泊酚靶控输注可安全用于小儿腺样体切除术。
Objective To observe the anesthetic effects of remifentanil combined with propofol target controlled infusion in pediatric adenoidectomy. Methods Thirty-six children with adenoidctomy were enrolled in this study. Group A was induced and maintained by remifentanil combined with propofol target-controlled infusion. Group B received conventional induction and remifentanil combined with propofol was maintained at constant speed. The changes of blood pressure and heart rate in 3 minutes after extubation, extubation and recovery were observed after 3 months of intubation, intubation, 3min after intubation. Results The mean arterial pressure and heart rate in group A immediately after intubation and at the beginning of operation were lower than those in group B, the difference was statistically significant (P <0.05). Conclusion Remifentanil combined with propofol target controlled infusion can be safely used in pediatric adenoidectomy.