咪唑安定、芬太尼、氨氟醚静吸复合全麻在腭裂整复术中的应用

目的：探讨咪唑安定，芬太尼，氨氟醚静吸复合全麻用于腭裂整复手术的效果。方法：１２８例腭裂患儿采用咪唑安定０．２－０．３ｍｇ．ｋｇ＾－１，芬太尼３－５μｇ．ｋｇ＾－１，司可林１－２ｍｇ．ｋｇ＾－１诱导插管，术中氨氟醚和芬太尼维持麻醉的方法，行腭裂整复术。

Application of Intravenous and Inhalational Combined Anesthesia with Midazolam,Fentany 1 and Enflurane in Cleft Palate Repair Operation

OBJECTIVE: To observe the effects of intravenous and inhalational combined anesthesia with midazolam, fetanyl l and enflurane in the cleft palate repair operation. METHODS: 128 patients prepared for cleft palate repair operation were selected randomly. Anesthesia was induced with 0.2-0.3 mg/kg midazolam, 3-5 micrograms/kg fentanyl 1, and intubation was facilitated with 1-2 mg/kg succinylcholine. Anesthesia was maintained with fentanyl 1 and enflurane, and changes of hemodynamics and incident rates of hiccup, cough and vomit were observed during and after operation. RESULTS: 1. After inducing, systolic pressure (SP) was decreased by 5%-8%, diastolic pressure (DP) decreased by 8%-10%(P < 0.05), and there were no significant changes in heart rates (HR) (P > 0.05). After intubation, there were no significant changes in SP, DP and HR. 2. After induction, the incident rates of hiccup and cough were 3.1% and 7.8% respectively. After operation, the incident rate of vomit was 7.0%. 3. The volume of lost blood was 5% less than the patient's whole blood volume. CONCLUSION: The anesthetic way is easy to be controlled with few side effects, and patients can revive easily, so it is a safe, efficient and perfect way in cleft palate repair operation.