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右旋美托咪定对小儿七氟醚麻醉后苏醒期躁动的影响分析 被引量：11

The Analysis of Dexmedetomidine Given to Children After Sevoflurane Restlessness Impact
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摘要 目的对右旋美托咪定对小儿七氟醚麻醉后苏醒期躁动产生的影响进行分析。方法对我院收治的84例行扁桃体剥离合并腺样体切除手术治疗患儿的资料进行回顾性分析。结果 D组患儿的EA发生率、PAED评分明显低于B组和C组(P<0.05)。结论对小儿七氟醚麻醉后苏醒期躁动应用右旋美托咪定,具备较好的镇静、镇痛作用。 Objective To analyze the impact caused to children after sevoflurane anesthesia restlessness of dextral Mato microphone.Methods 84 cases with adenoid tonsil dissection in our hospital for treatment of children with operation were retrospectively analyzed.Results In D group,the incidence rate of EA PAED score was significantly lower than that in B group and C group（P〈0.05）. ConclusionSevoflurane anesthesia for pediatric emergence agitation after application of dexmedetomidine sedation,analgesia,have good effect.
作者 吕治力
机构地区 吉林省人民医院
出处 《中国卫生标准管理》 2015年第5期20-21,共2页 China Health Standard Management
关键词 七氟醚麻醉 苏醒期躁动 右旋美托咪定 Sevoflurane anesthesia Restlessness Dexmedetomidine
分类号 R971 [医药卫生—药品]
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二级参考文献24

  • 1Vlajkovic G P, Sindjelic R P. Emergence delirium in chil- drm : Many questions, few answers [ J]. Anesth Analg, 2007, 104: 84.
  • 2Aouad M T, Yazbeck Karam V G, Nasr V G, et al. A sin- gle dose of propofol at the end of surgery for the prevention of emergence agitation in children undergoing strabismus surgery during sevoflurane anesthesia [ J ]. Anesthesiology, 2007, 107: 733.
  • 3Guler G, Akin A, Tosun Z, et al. Single-dose dexmedeto- midine reduces agitation and provides smooth extubation after pediatric adenotonsillectomy [ J ] Paediatr Anaesth, 2005, 15: 762.
  • 4Aono J, Ueda W, Mamiya K, et al. Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys[J]. Anesthesiology, 1997, 87: 1298.
  • 5Sikich N, I_.erman J. Development and psychometric evalua- tion of the pediatric anesthesia emergence delirium scale [J ]. Anesthesiology, 2004, 100:1138.
  • 6Kuratani N, Oi Y. Greater incidence of emergence agitation in children after sevoflurane anesthesia as compared with halothane: A meta - analysis of randomized controlled trials [J ]. Anesthesiology, 2008,109 : 225.
  • 7Cole JW, Murray DJ, McAllister JD, et al. Emergence be- haviour in children: Defining the incidence of excitement and agitation following anaesthesia[J ]. Paediatr Anaesth, 2002, 12 : 442.
  • 8Uezono S, Goto T, Terui K, et al. Emergence agitation af- ter sevoflurane versus propofol in pediatric patients [J]. Anesth Analg, 2000, 91:563.
  • 9Dahmani S, Stany I, Brasher C, et al. Pharmacological pre- vention of sevoflurane - and desflurane - related emergence agitation in children: A meta analysis of published studies [J]. Br J Anaesth, 2010,104:216.
  • 10Ibacaehe M E, Muoz H R, Brandes V, et al. Single dose dexmedetomidine reduces agitation after sevoflurane anesthe- sia in children[J]. Anesth Analg, 2004, 98: 60.

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引证文献11

二级引证文献54

中国卫生标准管理
2015年 第5期

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