Application of target controlled propofol combined with ropivacaine local infiltration anesthesia in congenital cleft palate repair
Objective To study and evaluate the effect of target controlled propofol combined with ropivacaine local infiltration anesthesia in congenital cleft palate repair. Methods 48 cases with congenital cleft palate repair in Hangzhou stomatological hospital were selected as the subjects (from March 2015 to April 2017). The control group were received general anesthesia, and the experimental group were received target controlled propofol combined with ropivacaine local infiltration anesthesia. The clinical indicators of irritability and aspiration in the experimental group and the control group were compared and analyzed. Results 15 min after extubation, heart rate in the experimental group was (75.90±10.32)/min, systolic blood pressure was (117.33±12.40) mmHg, diastolic blood pressure was (76.82±13.22) mmHg, which was significantly lower than those in the control group, the difference had statistically significant (P<0.05). In the control group, there were 6 cases with false aspiration, which was significantly more than that in the experimental group (P<0.05). The recovery time in the experimental group was (12.30±3.21) min, and in the control group was (25.78±12.39) min, the difference was statistically significant (P<0.05). In the control group, the number of recovery dysphoria was 18 cases, which was significantly more than that in the control group 2 cases (P<0.05). Conclusion Target controlled propofol combined with ropivacaine local infiltration anesthesia used in congenital cleft palate repair can stabilize the vital signs of patients, help patients recover faster and reduce the incidence of aspiration.
NETL
NSTL
万方数据
维普
