静注曲马多预防小儿耳鼻喉手术拔管期躁动的临床观察

The clinical observation of the preventive effect of tramal on restlessness at time of extubation in children undergoing ear-nose-throat surgery

目的观察插管后静注曲马多对预防小儿耳鼻喉手术拔管期躁动的作用.方法选择40例择期行扁桃体和(或)腺样体摘除术患儿.随机分为实验组和对照组,实验组在全麻插管后静脉注射曲马多2mg/kg,对照组静脉注射生理盐2mg/kg.观察术后两组小儿的躁动情况.结果镇静效果RAMSAY评分:实验组镇静满意率(2～4分)为65%,对照组镇静满意率为20%,两组比较差异显著(P＜0.01).躁动评分:观察组躁动评分明显低于对照组,两组比较差异显著(P＜0.01).结论小儿耳鼻喉手术插管后静注曲马多可明显减少拔管期躁动.

Objective To evaluate the preventive effect of tramal on restlessness at time of extubation in children undergoing ear-nose-throat surgery. Methods Forty ASA Ⅰ-Ⅱ children undergoing selective tonsillectomy and （or） adenoidectomy were included in this study and allocated randomly into two groups. 2mg/kg of tramal was administered intravenously after intubation in study group and 2mg/kg of neutral saline was administered in control group. At time of extubation, degree of restlessness and Ramsay sedation score were recorded by a blind observer. Results The satisfactory rate of sedation was higher in study group than that of control group. The restlessness was also much milder in study group. Conclusion 2mg/kg of tramal decreases the restlessness at time of extubation in children who underwent ear - nose - throat surgery.