瑞芬太尼-小剂量罗库溴铵复合七氟烷或异丙酚的麻醉对比研究

目的比较七氟烷和异丙酚复合瑞芬太尼一小剂量罗库溴铵用于食管异物取出术的麻醉效果、苏醒时间、苏醒质量。方法40例行食管异物取出术的患者，随机分为七氟烷组（S组，n=21）和异丙酚组（P组，n=19），观察记录两组患者麻醉中的血流动力学，记录停药至拔管的时间，及麻醉效果。结果P组用药后MAP下降，手术开始后5min的MAP低于S组；s组苏醒时间短于P组，麻醉满意度高于P组。结论七氟烷复合瑞芬太尼一小剂量罗库溴铵用于食管异物取出术，能保证稳定的血流动力学状态，苏醒快速，效果满意。

Anesthesia with emifentanil/small-dose rocuronium combined with sevoflurane or propofol in extracting foreign body in esophagus

Objective To evaluate the clinical efficacy, recovery time and recovery quality of anesthesia with remifentanil/small-dose rocuronium combined with sevoflurane or propofol in extracting foreign body in esophagus. Methods Forty patients with foreign body in esophagus were randomized divided into group S and group P, which were treated with remifentanil/ small-dose rocuronium combined with sevoflurane and propofol, respectively. The hemodynamic parameters, extubation time and recovery quality were observed. Results The hemodynamic parameters in group S were more stable than that in group P. Recovery time in group S was significantly shorter than that in group P. Incidence of sleep after recovery in group S was lower than that in group P. Anesthesia satisfaction in group P was higher than that in group S. Conclusion Remifentanil/small-dose rocuronium combined with sevoflurane demonstrated satisfactory anesthesia effect for extracting foreign body in esophagus.