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目的:探查瑞芬太尼复合异丙酚在儿童脊柱手术中唤醒试验的效果。方法:选择脊柱侧弯患儿16例,随机分为瑞芬太尼组(A组)和芬太尼组(B组),观察两组麻醉过程中血液动力学变化、麻醉效果。结果:两组的血液动力学指标各时点变化无明显差别(P>0.05),唤醒时间A组明显短于B组(P<0.05)。结论:瑞芬太尼复合异丙酚在脊柱手术的唤醒试验中可安全使用。
Objective: To investigate the effect of remifentanil combined with propofol on wake-up test in pediatric spinal surgery. Methods: Totally 16 children with scoliosis were randomly divided into remifentanil group (group A) and fentanyl group (group B). The changes of hemodynamics and anesthesia were observed during anesthesia in both groups. Results: There was no significant difference in the hemodynamic indexes between the two groups at each time point (P> 0.05). The wake time in group A was significantly shorter than that in group B (P <0.05). Conclusion: Remifentanil combined with propofol can be safely used in wake-up test of spinal surgery.