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。
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.
[1] 宋亚男,赵艳,郭向阳.右美托咪定用于舒芬太尼伴七氟烷全麻在腔镜手术中的随机对照研究[J].中国微创外科杂志,2018,18(8):673-676,698.
[2] 李朋仙,赵艳,郭向阳.靶控输注舒芬太尼复合七氟烷全麻在腔镜手术中的应用:前瞻性随机对照研究[J].中国微创外科杂志,2019,19(4):289-293.
[3] 郭艳霞,蒋萍萍,王丹,等.不同血浆靶浓度舒芬太尼对腔镜气腹刺激时七氟醚MACBAR的影响[J].临床麻醉学杂志,2020,36(1):46-49.
[4] 孙旺春. 七氟醚静吸复合麻醉与全凭静脉麻醉对下腹部手术患儿的应激反应及术后苏醒状况比较[J].河北医药,2018,40(24):77-80.
[5] 刘刚,孟炎,李晓红.舒芬太尼联合氯诺昔康对七氟醚麻醉下鼻窦镜手术术后躁动的影响[J].中华全科医学,2018,16(6):878-880.
[6] 董翔,陈源昆,许峥,等.瑞芬太尼联合七氟醚对腔镜胆囊切除术的麻醉效果及血流动力学的影响[J].医学临床研究,2019,36(4):670-671.
[7] 张锡凤,王建设,屈美敏,等.七氟醚对神经外科手术患儿脑血管自动调节功能及脑脊液氨基酸水平的影响[J].山东医药,2018,58(9):71-73.
[8] 朱允涛. 小儿疝气腹腔镜手术采用七氟醚联合舒芬太尼麻醉的应用效果观察[J]. 数理医药学杂志, 2019,32(12):1863-1864.