文档介绍：舒芬太尼与瑞芬太尼在小儿脊柱侧弯手术唤醒中的联合应用
毛珍慧王萍张建敏
首都医科大学附属北京儿童医院麻醉科北京 100045
[摘要] 目的比较舒芬太尼联合瑞芬太尼与芬太尼联合瑞芬太尼用于脊柱侧弯矫形手术麻醉对术中唤醒试验的影响。方法ASAⅠ~Ⅱ级脊柱侧凸后路矫形手术患者 40例,随机分为Ⅰ组(n =20)和Ⅱ组(n =20)。Ⅰ组用舒芬太尼1µg/kg诱导。Ⅱ组用芬太尼5µg /kg诱导,两组术中吸入七氟醚及笑气,,呼气末七氟醚浓度(ETsev),唤醒期间血流动力学变化以及唤醒期躁动呛咳例数等。结果两组唤醒期间血液动力学变化无显著差异。Ⅰ组患者唤醒时间短于Ⅱ组,唤醒期间呛咳躁动发生率低于Ⅱ组。结论舒芬太尼联合瑞芬太尼应用于脊柱侧弯手术唤醒试验中能够缩短唤醒时间,唤醒质量高, 更适用于脊柱手术。
关键词舒芬太尼, 瑞芬太尼, 脊柱侧弯, 唤醒试验, 麻醉
Application of bining with remifentanil on wake-up test in anesthesia for scoliosis surgery
Mao Zhen-Hui, Wang Ping, Zhang Jian-Min
Beijing Children’s Hospital, Beijing 100045, China
[Abstract] Objective: pare the effects of bining with remifentanil and bining with remifentanil on wake-up test in scoliosis surgery. Methods: Forty ASAⅠ~ⅡPatients undergoing scoliosis surgery were randomly divided into bining with remifentail group(groupⅠ,n=20) and bining with remifentanil group(groupⅡ,n=20), sufentanil1µg /kg was used in groupⅠwhile fentanyl 5µg/kg was used in groupⅡ, The anesthesia was maintained with inhaling sevoflurane and nitrous oxide and continuous intravenous infusion of remifentanil in both wake-up test time, end-tidal sevoflurane concentration, bucking and restlessness and hemodynamic variables including MAP and HR during the wake-up test were recorded. Results: There were stable circulatory functions during the wake-up test time in both groups. The w