右美托咪定对小儿七氟烷麻醉术后躁动的影响分析

Analysis of the Effects of Dexmedetomidine on Sevoflurane Anesthesia Restlessness in Children after Operation

目的：分析右美托咪定对小儿七氟烷麻醉术后躁动的影响。方法：选择2014年11月~2015年12月进入我院的择期行疝气手术患儿46例作为研究对象,分为实验组和对照组,对照组使用生理盐水,实验组使用右美托咪定,两组均以七氟烷诱导并维持,记录诱导时间、苏醒时间、苏醒后躁动评分以及不良反应发生情况。结果：实验组的诱导时间、苏醒时间以及苏醒后躁动评分均与对照组存在明显差异,两组均未发生呕吐、憋气、喉痉挛等不良反应。具有统计学意义（P〈0.05）。结论：在患儿诱导前1.0μg/kg右美托咪定经鼻给药安全可靠,能够在改善患儿术前焦虑情绪的同时降低患儿七氟烷麻醉苏醒后躁动的发生率,为小儿舒适化麻醉、提高手术配合度提供了新的临床方法。

Objective： To analyze the right supporting microphones set of sevoflurane in childhood,the influence of agitationafter anaesthesia.Methods：Choose 2014 November to December 2015 in our hospital in the marked line hernia surgery in childrenwith 46 cases as the research object,is divided into the experimental group and control group,control group using normal saline,theexperimental group used the right beauty microphones set,both groups with sevoflurane induction and maintenance,record theinduction time,wake up,wake up after agitation score and adverse reactions occur.Results：The experimental group of inductiontime,awakening time and wake up after agitation score there exists significant difference with control group,two groups were notadverse reactions such as vomiting,breath,laryngospasm.Statistically significant （P〈0.05）.Conclusion：1.0 μg/kg right in front ofthe children with induction beautiful mi nasal drug safety and reliable,able to children improve preoperative anxiety and reducesevoflurane anesthesia in children with the incidence of agitation after waking up,for pediatric anesthesia,comfortable to improvecooperation degree provides a new method of clinical surgery.