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外科研究与新技术 ›› 2022, Vol. 11 ›› Issue (2): 101-103.doi: 10.3969/j.issn.2095-378X.2022.02.007

• 论著 • 上一篇    下一篇

舒芬太尼联合七氟烷麻醉在小儿腔镜疝气手术中应用的有效性及其安全性分析

段亮   

  1. 佛山市三水区人民医院麻醉科,广东 佛山 528100
  • 收稿日期:2021-11-25 出版日期:2022-06-28 发布日期:2022-12-30
  • 作者简介:段 亮(1981—)男,大学本科,主治医师,从事临床麻醉科工作,电子信箱:duandy1988@163.com

Efficacy and safety analysis of sufentanil combined with sevoflurane anaesthesia in pediatric laparoscopic hernia surgery

DUAN Liang   

  1. Department of Anesthesiology, People's Hospital of Sanshui District, Foshan 528100, Guangdong, China
  • Received:2021-11-25 Online:2022-06-28 Published:2022-12-30

摘要: 目的 分析舒芬太尼联合七氟醚麻醉在小儿腔镜疝气手术麻醉与术后镇痛中的应用价值。方法 选取2020年1月—2021年6月收治的100例小儿腔镜疝气手术患者,按照数字表法随机分组。对照组采用舒芬太尼,观察组采取舒芬太尼联合七氟醚。比较两组麻醉相关指标、术后不同时间视觉模拟评分法(VAS)评分以及麻醉不良反应发生率的差异。结果 观察组术后拔管时间、麻醉复苏时间、自主呼吸恢复时间均短于对照组(P<0.05);观察组术后不同时间VAS评分均低于对照组(P<0.05);观察组不良反应率显著低于对照组(P<0.05)。结论 舒芬太尼联合七氟醚麻醉具有较好的麻醉镇痛效果,能够缩短麻醉复苏时间,降低小儿腔镜疝气手术后疼痛感,且不良反应少,值得推广使用。

关键词: 小儿腔镜疝气手术, 舒芬太尼, 七氟醚, 有效性, 安全性

Abstract: Objective To evaluate the anesthetic and postoperative analgesic of sufentanil combined with sevoflurane anesthesia in pediatric laparoscopic hernia surgery. Methods From January 2020 to June 2021, 100 pediatric laparoscopic hernia surgery patients were randomly assigned in accordance with random number table method into two groups. The control group adopted sufentanil, while the observation group used sufentanil combined with sevoflurane. Anesthesia-related indicators, postoperative Visual Analog Scale (VAS) scores, and the incidence of adverse reactions to anesthesia were compared between the two groups. Results The postoperative extubation time, anesthesia recovery time, spontaneous breathing recovery time in the observation group were shorter than those in the control group (P<0.05). The VAS scores at different postoperative time points in the observation group were lower than those in the control group (P<0.05). The adverse reaction rate in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Sufentanil combined with sevoflurane has a good analgesic effect, such as shortened anesthesia recovery time, reduced postoperative pain, and less adverse reactions, which is worthy of promotion.

Key words: Pediatric laparoscopic hernia surgery, Sufentanil, Sevoflurane, Efficacy, Safety

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