右美托咪啶在全麻术后患儿躁动防治中的应用

Effect of dexmedetomidine on postoperative restlessness in children patients

目的探讨右美托咪啶预防全麻术后患儿躁动的效果及总结其护理经验。方法在全麻后10 min对44例手术患儿给予10 m L剂量为0.5μg/kg右美托咪啶行静脉推注,注射时间15 min,观察其发生躁动情况。结果 44例术后患儿,发生躁动3例(6.8%),无发生躁动41例(93.2%)。结论在全麻后10 min内采用右美托咪啶静脉推注,能防治患儿术后躁动的发生,从而提高了手术治疗效果和保证患儿生命安全。

Objective To analyze the clinical effects of dexmedetomidine on postoperative agitation in children patients . Method Forty-four children undergoing surgeries in our hospital between March 2011 and March 2014 were treated with intravenous injection of 10 mL dexmedetomidine with a dose of 0.5μg/kg in 15 minutes after general anesthesia. Result The occurrence rate of postoperative restlessness was only 6.82%（3/44）. Conclusion The use of dexmedetomidine combined with specific clinical nursing intervention for children undergoing surgery can effectively reduce the occurrence of postoperative restlessness , which ensures the clinical therapeutic effect and life safety.