芬太尼与舒芬太尼在腹腔镜腹股沟疝修补术中对患儿的麻醉效果分析(1)
【摘要】 目的：探討芬太尼与舒芬太尼在腹腔镜腹股沟疝修补术中对患儿的麻醉效果。方法：选择2017年7月-2019年4月在本院行腹腔镜腹股沟疝修补术的患儿80例，按随机数字表法分为研究组和对照组，各40例。对照组术中给予芬太尼1 μg/kg麻醉诱导，研究组术中给予舒芬太尼0.1 μg/kg麻醉诱导。对比两组麻醉恢复情况、平均动脉压(MAP)、心率(HR)、不良反应发生情况。结果：研究组苏醒时间、自主呼吸恢复时间、苏醒期躁动评分、苏醒期镇静评分、苏醒期疼痛评分均优于对照组，差异均有统计学意义(P<0.05);麻醉前及拔管后3 min，两组MAP、HR比较，差异均无统计学意义(P>0.05);拔管前，对照组MAP、HR水平均明显高于麻醉前，差异均有统计学意义(P<0.05);拔管前，研究组MAP、HR水平均明显低于对照组，差异均有统计学意义(P<0.05)。结论：与芬太尼相比，在腹腔镜腹股沟疝修补术中使用舒芬太尼麻醉诱导可抑制应激反应，缩短麻醉恢复时间，抑制苏醒期躁动，镇痛、镇静效果更佳，还可减少不良反应发生。
【关键词】 腹腔镜腹股沟疝修补术 芬太尼 舒芬太尼 麻醉效果
Analysis on the Anesthetic Effect of Fentanyl and Sufentanil in Children Undergoing Laparoscopic Inguinal Hernia Repair/GUO Wenbin. //Medical Innovation of China， 2020， 17(02)： 0-040
[Abstract] Objective： To investigate the anesthetic effect of Fentanyl and Sufentanil in children undergoing laparoscopic inguinal hernia repair. Method： A total of 80 children underwent laparoscopic inguinal hernia repair in our hospital from July 2017 to April 2019 were selected. They were divided into study group and control group by random number table method， 40 cases in each group. In the control group， 1 μg/kg Fentanyl was given to induce anesthesia. In the study group， Sufentanil was induced with 0.1 μg/kg anesthesia. The recovery of anesthesia， MAP， heart rate (HR) and adverse reactions in the two groups were compared. Result： The waking time， spontaneous breathing recovery time， waking agitation score， waking sedation score and waking pain score in study group were better than those in the control group， the differences were statistically significant (P<0.05). Before anesthesia and 3 min after extubation， MAP and HR of the two groups were compared， the differences were not statistically significant (P>0.05). The levels of MAP and HR in the control group before extubation were significantly higher than those before anesthesia， the differences were statistically significant (P<0.05). Before extubation， MAP and HR levels in the study group were significantly lower than those in the control group， with statistically significant differences (P<0.05). Conclusion： Compared with Fentanyl， the induction of Sufentanil anesthesia in laparoscopic inguinal hernia repair can inhibit the stress response， shorten the recovery time of anesthesia， inhibit agitation in the wake period， have better analgesic and sedative effects， and reduce the occurrence of adverse reactions.
[Key words] Laparoscopic inguinal hernia repair Fentanyl Sufentanil Anesthesia effect, 百拇医药(郭文斌)
【关键词】 腹腔镜腹股沟疝修补术 芬太尼 舒芬太尼 麻醉效果
Analysis on the Anesthetic Effect of Fentanyl and Sufentanil in Children Undergoing Laparoscopic Inguinal Hernia Repair/GUO Wenbin. //Medical Innovation of China， 2020， 17(02)： 0-040
[Abstract] Objective： To investigate the anesthetic effect of Fentanyl and Sufentanil in children undergoing laparoscopic inguinal hernia repair. Method： A total of 80 children underwent laparoscopic inguinal hernia repair in our hospital from July 2017 to April 2019 were selected. They were divided into study group and control group by random number table method， 40 cases in each group. In the control group， 1 μg/kg Fentanyl was given to induce anesthesia. In the study group， Sufentanil was induced with 0.1 μg/kg anesthesia. The recovery of anesthesia， MAP， heart rate (HR) and adverse reactions in the two groups were compared. Result： The waking time， spontaneous breathing recovery time， waking agitation score， waking sedation score and waking pain score in study group were better than those in the control group， the differences were statistically significant (P<0.05). Before anesthesia and 3 min after extubation， MAP and HR of the two groups were compared， the differences were not statistically significant (P>0.05). The levels of MAP and HR in the control group before extubation were significantly higher than those before anesthesia， the differences were statistically significant (P<0.05). Before extubation， MAP and HR levels in the study group were significantly lower than those in the control group， with statistically significant differences (P<0.05). Conclusion： Compared with Fentanyl， the induction of Sufentanil anesthesia in laparoscopic inguinal hernia repair can inhibit the stress response， shorten the recovery time of anesthesia， inhibit agitation in the wake period， have better analgesic and sedative effects， and reduce the occurrence of adverse reactions.
[Key words] Laparoscopic inguinal hernia repair Fentanyl Sufentanil Anesthesia effect, 百拇医药(郭文斌)