瑞芬太尼在婴幼儿快通道心脏麻醉中的应用研究
发布时间：2018-11-22 06:43
【摘要】：目的探讨婴幼儿快通道心脏麻醉中瑞芬太尼的应用价值。方法选择医院住院诊断为先天性心脏病并拟行手术治疗的患儿40例,包括室间隔缺损(VSD)及房间隔缺损(ASD),依据随机数字表法将40例患儿随机分成试验组及对照组,各20例。分别观察并记录术后患儿不同时间点血流动力学指标、术后拔管时间及呼吸机使用时间。结果试验组患儿不同时间点血流动力学指标与对照组比较差异无统计学意义(P0.05),但试验组患儿术后拔管时间及呼吸机使用时间均较对照组明显缩短,且差异具有统计学意义(P0.05)。结论瑞芬太尼对稳定术中血流动力学效果明显,可减轻患者的应激反应,缩短拔管时间,在小儿心脏手术快通道麻醉中有良好的临床应用价值。
[Abstract]:Objective to investigate the value of remifentanil in fast channel cardiac anesthesia in infants. Methods A total of 40 children with congenital heart disease (CHD) were randomly divided into experimental group and control group, including ventricular septal defect (VSD) and atrial septal defect (ASD),). Each 20 cases. Hemodynamic indexes, extubation time and ventilator time were observed and recorded at different time points. Results there was no significant difference in hemodynamic indexes between the experimental group and the control group at different time points (P0.05), but the time of extubation and the use of ventilator in the test group were significantly shorter than those in the control group. The difference was statistically significant (P0.05). Conclusion remifentanil has obvious effect on hemodynamics during stable operation, can reduce stress reaction and shorten extubation time, and has good clinical application value in fast channel anesthesia of pediatric cardiac surgery.
【作者单位】： 青海省心脑血管病专科医院麻醉科;
【分类号】：R726.1
本文编号：2348396
[Abstract]:Objective to investigate the value of remifentanil in fast channel cardiac anesthesia in infants. Methods A total of 40 children with congenital heart disease (CHD) were randomly divided into experimental group and control group, including ventricular septal defect (VSD) and atrial septal defect (ASD),). Each 20 cases. Hemodynamic indexes, extubation time and ventilator time were observed and recorded at different time points. Results there was no significant difference in hemodynamic indexes between the experimental group and the control group at different time points (P0.05), but the time of extubation and the use of ventilator in the test group were significantly shorter than those in the control group. The difference was statistically significant (P0.05). Conclusion remifentanil has obvious effect on hemodynamics during stable operation, can reduce stress reaction and shorten extubation time, and has good clinical application value in fast channel anesthesia of pediatric cardiac surgery.
【作者单位】： 青海省心脑血管病专科医院麻醉科;
【分类号】：R726.1
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