目的 观察丙泊酚复合瑞芬太尼在肥胖患儿眼外伤手术中的应用效果.方法 60例眼外伤肥胖患儿分为丙泊酚+氯胺酮麻醉组(A组)和丙泊酚+瑞芬太尼麻醉组(B组),每组30例.记录2组患儿术中躁动、呼吸道分泌物增多及呼吸道梗阻例数,离开手术室时苏醒程度评分,苏醒时间、麻醉时间及手术时间,术者对麻醉满意度的主观评价.结果 A组术中躁动、呼吸道分泌物增多及呼吸道梗阻发生例数高于B组(P＜0.01).离开手术室时苏醒程度评分A组4分以上7例,B组4分以上30例,2组比较差异有统计学意义(P＜0.01).2组苏醒时间比较差异有统计学意义(P＜0.01).B组术者的麻醉满意度高于A组(P＜0.05).结论 丙泊酚复合瑞芬太尼用于肥胖患儿眼外伤手术安全、有效.%Objective To explore the application effect of propofol combined with remifentanil in ocular trauma surgery of obese children. Methods Sixty obese children with ocular trauma were divided into propofol combined ketamine group (group A) and propofol combined remifentanil group (group B) , thirty children in each group. The number of agitation during operation,increased respiratory secretions and airway obstruction; the scores of awakening degree when leaving the operating room;the recovery time,operation time and anesthesia time;the surgeon's subjective evaluation of anesthesia were recorded. Results The number of agitation during operation,increased respiratory secretions and airway obstruction of group A was significantly higher than thai of group B(P<0.01). Seven cases whose scores of awakening degree when leaving the operating room were greater than 4 points in group A,and all thirty cases whose scores of awakening degree when leaving the operating room were greater than 4 points in group B,there was statistic difference between two groups(P <0. 01). There was statistic difference of recovery lime between two groups(P<0.01).The anesthesia satisfaction in group B was higher than lhat in group A(P<0.05). Conclusion propofol combined with remifentanil in ocular trauma surgery of obese children is safe and effective.
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