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目的:观察分析顺式阿曲库铵联合瑞芬太尼在小儿气管异物取出术的麻醉效果。方法:选择气管异物取出术患儿40例,随机分为两组,每组20例,对照组(应用芬太尼+咪达唑仑);观察组(应用顺式阿曲库铵+瑞芬太尼)。观察两组手术时间、苏醒时间、生命体征变化、及并发症发生率。结果:两组基本生命体征变化相似,但用药量、并发症、苏醒时间等指标观察组均优于对照组(P<0.05)。结论:顺式阿曲库铵联合瑞芬太尼在气管异物取出术中麻醉相对平稳,并发症出现较少,是一种相对安全可靠的麻醉方法。
OBJECTIVE: To observe and analyze the anesthetic effects of cisatracurium combined with remifentanil in children with tracheal foreign body removal. Methods: Forty children with tracheal foreign bodies were randomly divided into two groups (n = 20 each), the control group (fentanyl + midazolam), the observation group (cisatracurium + Tai Nai). The operation time, recovery time, changes of vital signs and the incidence of complications were observed. Results: The changes of basic vital signs in both groups were similar, but the observation group was better than the control group (P <0.05), such as dosage, complications and recovery time. CONCLUSIONS: Cisatracurium and remifentanil are relatively stable in anesthesia during tracheal foreign body removal with few complications. It is a relatively safe and reliable method of anesthesia.