小儿全麻苏醒期躁动的防治进展

Advances in Prevention and Treatment of Restless Children General Anesthesia

小儿全麻苏醒期躁动(EA)指的是小儿在全身麻醉苏醒期间出现行为与意识分离的精神状态,临床症状主要表现为大声哭喊并无法进行安抚、四肢乱动、语无伦次等。从乙醚、氯胺酮以及环丙烷麻醉当中复苏的患者,特别是采取扁桃体摘除术、包皮环切术以及甲状腺切除术的患者出现异常兴奋的表现。在临床当中小儿全身麻醉苏醒期躁动相对比较高并呈现递增趋势。在没有麻醉之前使用药物的情况之下,七氟烷麻醉以后小儿苏醒期发生躁动的几率高达66%,严重者对小儿预后带来不良影响,应该引起相关临床研究人员的高度重视。

Pediatric anesthesia restlessness（EA） refers to the separation of children with behavioral and mental state of consciousness during general anesthesia, clinical symptoms mainly cried out and unable to appease, limbs tamper, incoherent and so on. From ether, ketamine and cyclopropane anesthesia among patients recovery, especially in adopting tonsillectomy, circumcision and excision of thyroid abnormalities exciting. Among children in clinical anesthesia restlessness relatively high and showed an increasing trend. Under the circumstances prior to the use of drugs without anesthesia, pediatric anesthesia after sevoflurane wake of agitation occurred up to 66 percent chance of serious adverse effects on the huge prognosis in children, should cause clinical researchers are highly valued.