期刊文献+

右旋美托咪定在小儿七氟醚麻醉后苏醒躁动中的效果研究 被引量:11

Analysis of the effect of dexmedetomidine on postoperative restlessness in children after sevoflurane anesthesia
下载PDF
导出
摘要 目的:探讨应用右旋美托咪定治疗小儿七氟醚麻醉后苏醒躁动的效果。方法:将92例行七氟醚麻醉患儿随机分为研究组与对照组,研究组患儿给予右旋美托咪定,对照组给予生理盐水,分析两组患儿术后唤醒时间、麻醉维持时间、苏醒期躁动发生率及PAED得分的变化。结果:两组患儿在术后唤醒时间、麻醉维持时间上差异无统计学意义(P>0.05),但研究组的躁动发生率及刚回病房、回房5min的PAED得分明显低于生理盐水组(P<0.05),两组患儿回房10min后的躁动严重程度差异不再具有统计学意义(P>0.05)。结论:小儿七氟醚麻醉后运用右旋美托咪定对减少苏醒期躁动发生率及发生严重程度均具有较好效果。 Objective: To investigate the effect of dexmedetomidine on postoperative restlessness after sevoflurane anesthesia in children.Methods: 92 cases of sevoflurane anesthesia children were regarded as the research object, they were randomly divided into experimental group and control group, the experimental group were given dexmedetomidine, the control group received saline, we retrospectively analyzed the wake-up time after operation, anesthesia duration, agitation rate and PAED score changes between two groups.Results: The changes of the postoperative awake time, anesthesia duration in two groups had no significant difference, but the incidence of restlessness and the PAED score of backing to the ward, backing to the room after 5mins of experimental group is significantly lower than that of the control group, agitation severity differences of backing to the room after 10mins between two groups of children were no longer statistically significant.Conclusion: The use of dexmedetomidine after sevoflurane anesthesia in children has a good effect on reducing the incidence of agitation and the severity of it.
出处 《陕西医学杂志》 CAS 2017年第9期1176-1177,共2页 Shaanxi Medical Journal
关键词 麻醉 全身 麻醉药 全身/治疗应用 精神运动性激动/副作用 精神运动性激动/药物疗法 @右旋美托咪定 Anesthesia,general Anesthetics,general/therapeutic use Psychomotor agitation / adverse effects Psychomotor agitation/drug therapy @Dexmedetomidine
  • 相关文献

参考文献4

二级参考文献34

  • 1王俊霞,崔莉,杨淑芝.瑞芬太尼复合异丙酚在婴幼儿支气管异物取出术中的应用[J].山东医药,2007,47(6):66-67. 被引量:12
  • 2Weldon BC,Bell M,Craddock T.The effect of caudal analgesia on emergence agitation in children after sevoflurane versus halothane anesthesia.Anesth Analg,2004,98:321-326.
  • 3Cravero JP,Beach M,Dodge CP,et al.Emergence characteristics of sevoflurane compared to halothane in pediatric patients undergoing bilateral pressure equalization tube insertion.J Clin Anesth,2000,12,397-401.
  • 4Walker SM,Haugen RD,Richards A.A comparison of sevoflurane with halothane for paediatric day case surgery.Anaesth Intensive Care,1997,25:643-649.
  • 5Welborn LG,Hannallah RS,Norden JM,et al.Comparison of emergence and recovery characteristics of sevoflurane,desflurane,and halothane in pediatric ambulatory patients.Anesth Anesth,1996,83:917-920.
  • 6Cravero JP,Beach M,Thyr B,et al.The effect of small dose fentanyl on the emergence characteristics of pediatric patients after sevoflurane anesthesia without surgery.Anesth Analg,2003,97:364-367.
  • 7Veyckemans F. Excitation phenomena during sevoflurane anaesthesia in children[J]. Curt Opin Anaesthesiol, 2001 , I4(3) :339- 343.
  • 8Malviya S, Voepel-Lewis T, Ramamurthi RJ, et al. Clonidine for the prevention of emergence agitation in young children: efficacy and recovery profile[J]. Paediatr Anaesth, 2006,16(5) : 554 - 559.
  • 9Luhisch N,Roskos R, Berkenhosch JW. Dexmedetomidine for procedural sedation in children with autism and other behavior disorders [J]. Pediatr Neurol, 2009,4l ( 2 ):88 - 94.
  • 10Voepel-lewis T,Malviya S,Tait AR,A prospective cohort study of emergence agitation in the pediatric postanesthesia care unit[J]. AnesthAnalg, 2003,96 (6) : 1625 - 1630.

共引文献162

同被引文献91

引证文献11

二级引证文献43

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部