右美托咪定对小儿斜疝腹腔镜手术麻醉恢复期躁动的影响分析

Influence Analysis of Dexmedetomidine in the Restlessness during the Anesthesia Recovery Period of Pediatric Laparoscopic Inguinal Hernia Surgery

目的:分析探讨右美托咪定对小儿斜疝腹腔镜手术麻醉恢复期躁动的影响。方法:选取2014年1月-2015年6月收治的82例行小儿斜疝腹腔镜手术的患儿作为研究对象,采用随机数字表法将其分为对照组和观察组,每组41例,对照组给予生理盐水静脉泵注,观察组给予右美托咪定静脉泵注,比较分析两组手术麻醉恢复情况及躁动情况等。结果:观察组T2、T3时的MAP及HR均低于对照组,比较差异均有统计学意义(P<0.05);观察组躁动评分及呼吸道事件发生率均低于对照组,比较差异均有统计学意义(P<0.05);两组麻醉恢复时间及拔管时间比较差异无统计学意义(P>0.05)。结论:针对行斜疝腹腔镜手术的小儿患者,术前给予右美托咪定静脉泵注,有利于降低麻醉恢复期躁动发生率,减少心动过速,确保患儿顺利苏醒,提高手术治疗效果,值得临床推广应用。

Objective： To analyze and discuss the influence of Dexmedetomidine in the restlessness during the anesthesia recovery period of pediatric laparoscopic inguinal hernia surgery.Method： 82 children with pediatric laparoscopic inguinal hernia surgery from January 2014 to June 2015 were selected and randomly divided into the control group and the observation group, with each group 41 cases.The control group was given intravenous infusion of normal saline, the observation group was given intravenous infusion of Dexmedetomidine.The situations of anesthesia recovery and restlessness in the two groups were compared and analyzed.Result： The MAP and HR at T2, T3 in the observation group were lower than those in the control group, the differences were statistically significant （ P〈0.05 ） .The restlessness score and the incidence rate of respiratory events in the observation group were lower than those in the control group, the differences were statistically significant （ P〈0.05 ） .The differences in the recovery time of anesthesia and the extubation time between the two groups were not statistically significant （ P〉0.05 ） .Conclusion： For pediatric patients undergoing laparoscopic inguinal hernia surgery, preoperative intravenous infusion of Dexmedetomidine can help to reduce the incidence of restlessness during anesthesia recovery period, reduce the incidence of tachycardia, ensure the smooth wake of children and improve the surgical outcomes.It is worthy of clinical promotion and application.