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目的探讨右旋美托咪定对小儿七氟醚麻醉后苏醒期躁动的影响。方法 100例行七氟醚麻醉患儿,根据住院尾号奇偶分为目标组与对照组,每组50例。对照组麻醉过程给予生理盐水缓慢静脉推注,目标组患儿麻醉过程给予右旋美托咪定缓慢静脉推注。比较两组唤醒时间、麻醉维持时间、拔管时间和苏醒期躁动发生率。结果目标组患儿唤醒时间、麻醉维持时间、拔管时间与对照组比较差异无统计学意义(P>0.05)。目标组苏醒期躁动发生率明显低于对照组,差异有统计学意义(P<0.05)。结论右旋美托咪定的应用可减少小儿七氟醚麻醉后苏醒期躁动发生率,值得临床推广。
Objective To investigate the effect of dexmedetomidine on wakefulness during recovery from pediatric sevoflurane anesthesia. Methods 100 children undergoing anesthesia with sevoflurane were divided into the target group and the control group according to the odd-even number of the hospital tail number, 50 cases in each group. Control group anesthesia given saline slow intravenous injection, the target group of children given dexmedetomidine anesthesia slow intravenous injection. The wake time, anesthesia maintenance time, extubation time and wakefulness agitation rate were compared between the two groups. Results There was no significant difference in wake time, anesthesia maintenance time and extubation time between the control group and the target group (P> 0.05). The incidence of restlessness in the target group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion The application of dexmedetomidine can reduce the incidence of agitation in the wake of anesthesia pediatric anesthesia, worthy of clinical promotion.