舒芬太尼用于小儿心脏直视手术快通道麻醉的临床应用价值

摘要

目的探讨舒芬太尼在小儿心脏直视手术中的应用及麻醉后恢复情况.方法选择2009年6月~2012年6月在湖南省湘潭市中心医院实施心脏直视手术的患儿40例,按随机数字表将其分为芬太尼麻醉组(F组,n=20)和舒芬太尼麻醉组(SF组,n=20例).比较两组的麻醉效果、麻醉药用量、麻醉前后血流动力学的变化、麻醉复苏情况及不良反应等.结果 SF组HR、SBP和DBP值在手术诱导期间未发生明显的波动,各时期的值间差异未达到显著水平(P>0.05)；手术后睁眼、拔管、病房停留、恢复自主呼吸的时间和并发症率显著低于F组(P<0.05).结论舒芬太尼麻醉后血流动力学平稳、术后恢复情况较好、并发症少,适合在小儿心脏直视手术中用于快通道麻醉.%Objective Explore sufentanil open-heart surgery in the pediatric cardiac surgery fast-channel anesthesia and its recovery. Methods June 2009 to June 2012, 40 cases of open heart surgery in children, random number table will be divided into the fentanyl group (F, n=20) and Shu Fen tooNepalese anesthesia (SF group, n=20 cases). Observation and comparison of two groups of the anesthetic effect of the amount of anesthetic, hemodynamic changes before and after anesthesia, anesthesia recovery, and adverse reactions.Results SF group HR, SBP and DBP values did not occur during surgery induced significant fluctuations in the value of each period, the difference did not reach significant levels (P>0.05);Zheng Yanjing after surgery, extubation, ward stay, recovery time of spontaneous breathingand complication rates were significantly lower than the F group (P<0.05).Conclusion The sufentanil hemodynamic stability,postoperative recovery is better, fewer complications,a good clinical pediatric open-heart surgery fast-track anesthetic select.