[阿芬太尼联合麻醉在儿童腺扁桃体切除术中的应用——与乙烷吸入麻醉的比较]。

U Skubella, H Hucke
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引用次数: 0

摘要

在两组中,每组包括25名接受腺扁桃体切除术的儿童,使用两种不同的麻醉方法。ⅰ组给予乙烷吸入,ⅱ组给予阿芬太尼联合麻醉。目的是了解两种方法在血流动力学、副作用和实用性方面是否存在差异。II组患者血流动力学更稳定,乙醚消耗更少,术后恢复更快。呕吐的发生率在两组中同样低。其他可归因于阿芬太尼的副作用,如呼吸抑制、胸强直和心动过缓,无临床意义。人们可以从结果中得出结论,鉴于所述的优点,阿芬太尼联合麻醉代表了在接受腺扁桃体切除术的儿童中常规使用的“纯”吸入麻醉的真正替代品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Alfentanil combination anesthesia in adeno-tonsillectomy in children--a comparison with ethrane inhalation anesthesia].

In two groups, each comprising 25 children undergoing adenotonsillectomy, two different methods of anaesthesia were used. Group I received ethrane inhalations, group II an alfentanil combination anaesthesia. The objective was to find out, whether or not the two methods differed in respect of haemodynamics, side-effects and practicability. In the patients of group II more haemodynamic stability, less ethrane consumption and faster postanaesthetic recovery was observed. The incidence of vomiting was equally low in both groups. Other side-effects ascribable to alfentanil, such as respiratory depression, chest rigidity and bradycardia, had no clinical significance. One may conclude from the results, that on account of the advantages described an alfentanil combination anaesthesia represents a true alternative to the routinely used "pure" inhalation anaesthesia in children undergoing adenotonsillectomy.

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