Anesthetic effect of remifentanil and fentanyl on interventional surgery for children with congenital heart disease
10.7501/j.issn.1674-6376.2017.08.018
- VernacularTitle:瑞芬太尼与芬太尼在小儿先天性心脏病介入手术麻醉中的效果分析
- Author:
fang Zhi FAN
1
;
Chuan WANG
;
lu Xiao XU
;
kui Ding JI
Author Information
1. 三门峡市中心医院疼痛科
- Keywords:
remifentanil;
fentanyl;
congenital heart disease;
extubation time
- From:
Drug Evaluation Research
2017;40(8):1126-1129
- CountryChina
- Language:Chinese
-
Abstract:
Objective Discuss the anesthetic effect ofremifentanil and fentanyl on interventional surgery for children with congenital heart disease.Methods 80 patients with congenital heart disease were selected,they were divided into two groups randomly.The control group (40 cases) was given fentanyl anesthesia.The observation group (40 cases) was given remifentanil anesthesia.Observe and record SDP,DBP,HR at different time of anesthesia,extubation time,recovery time and dosage of anesthesia and adverse reaction during anesthesia to evaluate the anesthetic effect of remifentanil and fentanyl on interventional surgery for children with congenital heart disease.Results Compared with the basic value before induction of anesthesia,the SDP,DBP of two groups were decreased after induction (P ＜ 0.05).There was no significant difference on HR level between two groups before and after induction.The extubation time,recovery time of observation group was shorter than that of the control group.However,the amount of anesthesia drug in the observation group was higher than that of the control group (P ＜ 0.05).During anesthesia,there was no significant difference on adverse reactions between two groups.Conclusion The anesthetic effect of remifentanil on interventional surgery for children with congenital heart disease is good,and it has little effect on cardiac function with early extubation and less side effect.
