Parish Masoud, Mahmoodpoor Ata, Rasuli Susan, Asadnasab Sheida, Sanaie Sarvin
Department of Anesthesiology and Intensive Care, Nikookary Hospital, Tabriz, Iran.
Neurosciences (Riyadh). 2007 Apr;12(2):120-3.
To compare recovery after anesthesia with remifentanil infusion versus halothane for strabismus surgery
This study was performed from September 2004 to March 2005 in Tabriz Nikookary Hospital, Tabriz, Iran on children aged 2-12 years scheduled for strabismus surgery randomized into 2 groups of 25 patients each: the H group in which anesthesia was maintained with halothane and the R group in which anesthesia was maintained with remifentanil.
There was no meaningful difference in extubation time after discontinuing drugs between the 2 groups (p=0.14). However, there was a significant difference in the time of purposeful movements, proper oxygenation, consciousness, and discharge from the post anesthetic care unit between the 2 groups, all being shorter in group R. Also in group R, the time to spontaneous breathing return was longer, cases of neuromuscular reversal were fewer and cases of limb movements were more than group H.
Maintenance of anesthesia with remifentanil in children aged 2-12 years undergoing strabismus surgery provided desired hemodynamic status and shorter time of discharge criteria.
比较瑞芬太尼输注麻醉与氟烷麻醉用于斜视手术术后的恢复情况
本研究于2004年9月至2005年3月在伊朗大不里士的大不里士尼库卡里医院对2 - 12岁计划行斜视手术的儿童进行，随机分为两组，每组25例患者：H组采用氟烷维持麻醉，R组采用瑞芬太尼维持麻醉。
两组停药后拔管时间无显著差异（p = 0.14）。然而，两组在有意识动作时间、适当氧合时间、意识恢复时间及离开麻醉后护理单元时间方面存在显著差异，R组上述各项时间均较短。此外，R组自主呼吸恢复时间较长，神经肌肉阻滞逆转病例较少，肢体运动病例多于H组。
对于2 - 12岁行斜视手术的儿童，采用瑞芬太尼维持麻醉可提供理想的血流动力学状态及更短的出院标准时间。
