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目的分析右美托咪定联合咪达唑仑术前滴鼻在小儿斜疝手术麻醉中的应用效果。方法 90例行斜疝手术麻醉的患儿,将其随机分为对照组1、对照组2和实验组,各30例。对照组1行右美托咪定术前滴鼻麻醉,对照组2行咪达唑仑术前滴鼻麻醉,实验组行右美托咪定联合咪达唑仑术前滴鼻麻醉,对比三组患儿的临床麻醉效果。结果对照组1、对照组2的镇静满意率、术后躁动发生率、入睡时间、苏醒时间比较差异均无统计学意义(P>0.05);实验组的镇静满意率为96.7%、术后躁动发生率为93.3%,均高于对照组1的80.0%、70.0%,对照组2的76.7%,73.3%,差异具有统计学意义(P<0.05);实验组患儿的入睡时间、苏醒时间均早于对照组1、对照组2,差异有统计学意义(P<0.05)。结论右美托咪定联合咪达唑仑术前滴鼻在小儿斜疝手术麻醉中应用,麻醉效果显著,可以在临床术前麻醉中推广应用。
Objective To analyze the effect of dexmedetomidine plus midazolam preoperative intranasal nasal anesthesia in pediatric indirect hernia surgery. Methods Totally 90 children with surgical hernia were randomly divided into control group (1), control group (2) and experimental group (n = 30). In control group, dexmedetomidine was administered intranasally before anesthesia, while in control group, midazolam was administered intranasally before anesthesia. Dexmedetomidine and midazolam were used in the experimental group, Group of children with clinical anesthesia. Results There was no significant difference in the rate of sedation, the incidence of postoperative agitation, the time to fall asleep and the recovery time in control group 1 and control group 2 (P> 0.05). The satisfaction rate of sedation in the control group was 96.7% (93.3%) were higher than 80.0% and 70.0% respectively in control group 1 and 76.7% and 73.3% in control group 2 (P <0.05). The incidences of falling asleep, recovery time Both were earlier than the control group 1, control group 2, the difference was statistically significant (P <0.05). Conclusion Dexmedetomidine combined with midazolam preoperative intranasal nasal anesthesia in the application of anesthesia in children with oblique hernia, significant anesthesia, can be applied in clinical preoperative anesthesia.