评估瑞芬太尼复合丙泊酚在腹股沟斜疝患儿腹腔镜手术麻醉中的镇痛效果。

纳入2019年6月至2021年1月邯郸市中心医院行腹腔镜下腹股沟疝修补术的患儿100例，采用随机数字法将患者分为对照组与观察组，每组各50例。对照组患儿给予芬太尼复合丙泊酚麻醉，观察组给予瑞芬太尼复合丙泊酚麻醉。分析和比较2组患儿围手术期不同时间点的视觉模拟评分法评分、心率、血压及麻醉时间、清醒时间、拔管时间。

术后1、6 h，对照组患儿疼痛视觉模拟评分（4.33±1.56）、（3.21±1.61）分明显高于观察组（3.02±1.35）、（2.08±1.05）分，差异均有统计学意义（均P<0.05）。对照组患儿麻醉诱导，手术进行10、20 min，手术结束时血压及心率值均高于观察组，差异均有统计学意义（均P<0.05）。观察组清醒时间、拔管时间（9.14±2.31）、（8.15±1.88）min均明显短于对照组（18.55±3.58）、（15.56±2.15）min，差异均有统计学意义（均P<0.05）。

瑞芬太尼复合丙泊酚麻醉在腹腔镜下腹股沟疝修补术中镇痛效果明显优于对照组，且循环更稳定，具有起效快、操作简单、苏醒时间短等优越性和安全性。

To evaluate the analgesic effect of remifentanil combined with propofol in laparoscopic operation of children with indirect inguinal hernia.

100 children who underwent laparoscopic inguinal hernia repair in Handan Central Hospital from June 2019 to January 2021 were included. The patients were randomly divided into control group and observation group, with 50 cases in each group. The control group was given fentanyl combined with propofol anesthesia, and the observation group was given remifentanil combined with propofol anesthesia. The visual analogue scale score, heart rate, blood pressure, anesthesia time, awake time and extubation time of the two groups were analyzed and compared.

At 1 and 6 hours after operation, the visual analogue scale score (4.33±1.56) and (3.21±1.61) points of the control group were significantly higher than those of the observation group (3.02±1.35) and (2.08±1.05) points, and the differences were statistically significant (all P<0.05). The blood pressure and heart rate of the children in the control group were higher than those in the observation group at the end of the anesthesia induction, 10 min and 20 min operation (all P<0.05). The awake time and extubation time (9.14±2.31) and (8.15±1.88) minutes in the observation group were significantly shorter than those in the control group (18.55±3.58) and (15.56±2.15) minutes, and the difference was statistically significant (all P<0.05).

Remifentanil combined with propofol anesthesia in laparoscopic inguinal hernia repair is significantly better than that in the control group, and the circulation is more stable. It has the advantages and safety of quick onset, simple operation and short recovery time.