【摘要】 目的研究瑞芬太尼在小儿扁桃体摘除术麻醉中的应用。方法选择ASAⅠ~Ⅱ级、年龄6~10岁、择期行扁桃体摘除术小儿60例,随机分为观察组和对照组。观察组采用瑞芬太尼诱导和维持麻醉,对照组采用芬太尼诱导和异氟烷吸入维持麻醉,观察2组麻醉诱导及维持期血流动力学变化及停药至气管拔管、苏醒、清醒的时间,观察患儿拔管后上呼吸道梗阻或屏气、苏醒期躁动、术后恶心呕吐的发生率。结果瑞芬太尼麻醉术中循环波动小,苏醒及清醒快,恶心呕吐及苏醒期躁动的发生较对照组少。结论瑞芬太尼可安全有效地用于小儿扁桃体摘除术的麻醉,苏醒质量优良。更多还原

【Abstract】 Objective To study the application of remifentanil anesthesia in tonsillectomy.?Methods Sixty children(ASAⅠ-Ⅱ) undergoing tonsillectomy were randomly allocated to 2 groups.The remifentanil group were given anaesthetic induction and maintenance with remifentanil;while the control group were given anaesthetic induction with fentanil and maintenance with isoflurane.The anaesthetic induction and maintenance phase,the hemodynamic values,the time of extubation and time of consciousness recovery were recorded.The incidence of agitation and incidence of nausea and vomiting were noted after operation.?Results There was less circulatory fluctuation,faster recovery with lower incidence of agitation and nausea and vomiting and less post-operative complications in the remifentanil group than in the control group.?Conclusion Remifentanil can be used safely and effectively in tonsillectomy in children.更多还原