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目的比较快通道和常规麻醉在小儿先天性心脏病手术中的临床效果。方法选取怀化市第一人民医院2011年7月至2013年11月收治的择期手术先天性心脏病患儿116例,将其随机分为观察组和对照组,每组58例,观察组采用快通道麻醉,对照组采用常规麻醉,比较两组患者镇静镇痛药物使用情况、术后拔管时间、CICU时间、住院时间、住院费用及并发症情况。结果观察组芬太尼使用剂量为(10.79±7.15)μg/kg,使用1种以上镇静镇痛药物为6例,均明显少于对照组,两组比较差异有统计学意义(P<0.05);观察组术后拔管时间、CICU时间、住院时间、住院费用也显著低于对照组,差异有统计学意义(P<0.01);且观察组并发症发生率为13.8%,对照组为32.8%,两组比较差异有统计学意义(P<0.05)。结论快通道麻醉使用芬太尼的剂量较少,拔管时间、CICU时间较短,患儿恢复快,并发症少,费用较低,临床效果显著。
Objective To compare the clinical effects of fast-track and conventional anesthesia in children with congenital heart disease. Methods 116 cases of children undergoing elective surgery with congenital heart disease admitted to the First People’s Hospital of Huaihua City from July 2011 to November 2013 were randomly divided into observation group and control group, 58 cases in each group. The observation group adopted fast The patients in the control group received routine anesthesia. The sedation and analgesic use, extubation time, CICU time, hospitalization time, hospitalization expenses and complication were compared between the two groups. Results The dosage of fentanyl in the observation group was (10.79 ± 7.15) μg / kg, and the use of more than one sedative and analgesic drug in 6 patients was significantly less than that of the control group (P <0.05) ; The time of extubation, CICU, hospitalization and hospitalization in the observation group were also significantly lower than those in the control group (P <0.01); the incidence of complications in the observation group was 13.8% and that in the control group was 32.8 %, The difference between the two groups was statistically significant (P <0.05). Conclusions Fast-track anesthesia using fentanyl dose less, extubation time, CICU time is shorter, faster recovery of children, fewer complications, lower costs, the clinical effect is significant.