Skubella U, Hucke H
Anästhesieabteilung des Hospitals zum Heiligen Geist, Fritzlar.
Anasth Intensivther Notfallmed. 1989 Dec;24(6):362-7.
In two groups, each comprising 25 children undergoing adenotonsillectomy, two different methods of anaesthesia were used. Group I received ethrane inhalations, group II an alfentanil combination anaesthesia. The objective was to find out, whether or not the two methods differed in respect of haemodynamics, side-effects and practicability. In the patients of group II more haemodynamic stability, less ethrane consumption and faster postanaesthetic recovery was observed. The incidence of vomiting was equally low in both groups. Other side-effects ascribable to alfentanil, such as respiratory depression, chest rigidity and bradycardia, had no clinical significance. One may conclude from the results, that on account of the advantages described an alfentanil combination anaesthesia represents a true alternative to the routinely used "pure" inhalation anaesthesia in children undergoing adenotonsillectomy.
在两组中，每组各有25名接受腺扁桃体切除术的儿童，采用了两种不同的麻醉方法。第一组接受安氟醚吸入麻醉，第二组接受阿芬太尼复合麻醉。目的是找出这两种方法在血流动力学、副作用和实用性方面是否存在差异。在第二组患者中观察到血流动力学更稳定、安氟醚消耗量更少且麻醉后恢复更快。两组呕吐发生率均较低。阿芬太尼引起的其他副作用，如呼吸抑制、胸壁强直和心动过缓，无临床意义。从结果可以得出结论，鉴于上述优点，阿芬太尼复合麻醉是接受腺扁桃体切除术儿童常规使用的“单纯”吸入麻醉的真正替代方法。
