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目的探讨瑞芬太尼联合七氟烷复合麻醉对小儿全麻苏醒期躁动的影响。方法选取上栗县人民医院2011—2012年收治的拟行全麻扁桃体切除患儿80例,根据麻醉方法不同分为观察组和对照组,各40例。对照组采用瑞芬太尼麻醉,观察组采用瑞芬太尼联合七氟烷复合麻醉,比较两组患儿手术时间、苏醒时间、躁动时间>15min患儿比例、躁动发生情况。结果两组患儿手术时间、苏醒时间比较,差异无统计学意义(P>0.05)。两组患儿麻醉躁动比例、躁动评分以及躁动时间>15min患儿比例比较,差异有统计学意义(P<0.05)。结论瑞芬太尼联合七氟烷复合麻醉可减少小儿麻醉后躁动现象。
Objective To investigate the effect of remifentanil combined with sevoflurane anesthesia on restlessness during general anesthesia in children. Methods 80 cases of children undergoing general anesthesia for tonsillectomy admitted in Shangli County People’s Hospital from 2011 to 2012 were divided into observation group and control group according to different anesthesia methods, 40 cases in each group. The control group was given remifentanil anesthesia, and the observation group was remifentanil combined with sevoflurane anesthesia. The operation time, recovery time, the proportion of children with agitation time> 15min and the agitation were compared. Results There was no significant difference in operative time and recovery time between the two groups (P> 0.05). The two groups of children with agitation agitation rate, restlessness score and agitation time> 15min in children with the proportion of difference was statistically significant (P <0.05). Conclusion Remifentanil combined with sevoflurane anesthesia can reduce the restlessness after pediatric anesthesia.