浅析右美托咪定麻醉前滴鼻在小儿临床麻醉中的效果

Analysis of clinical effect of dexmedetomidine nose drops before anesthesia in pediatric anesthesia

目的分析右美托咪定麻醉前滴鼻在小儿临床麻醉中的效果。方法选取2016年3月~2017年3月期间收治的74例患儿作为研究对象,根据不同麻醉前处理方式将其分为研究组(n=37)与对照组(n=37)。对照组行咪达唑仑麻醉前滴鼻,研究组行右美托咪定麻醉前滴鼻;比较两组患儿麻醉过程中脉压差(PP)、血氧饱和度(SpO_2)、心率(HR)等指标的变化状况。结果与对照组比较,研究组患儿滴鼻后10 min、手术前10min以及手术过程中10 min的心率更优,差异有统计学意义(P<0.05),而脉压差和血氧饱和度未见明显区别。结论右美托咪定麻醉前滴鼻在小儿临床麻醉中的效果显著,可以稳定患儿心率,有利于麻醉工作的开展。

Objective To analyze the clinical effect of dexmeidine nasal drops before anesthesia in pediatric clinical anesthesia. Methods 74 cases ofchildren treated in our hospital from March 2016 to March 2017 were selected as the research objects. According to different anesthesia methods, they weredivided into the study group（ 37 cases） and the control group（ 37 cases）. The control group received midazolam nose drops before anesthesia, and the studygroup received dexmedetomidine nose drops before anesthesia, and compared indicators of PP、SpO2、HR in the two groups of children anesthesia process andpostoperative adverse reactions rate. Results Compared with the control group, the study group 37 patients had a better heart rate than 10min after nasal drip,10 min before surgery and 10min after surgery, and the difference was statistically significant（P 〈 0.05）. Conclusion The clinical effect of dexmedetomidinenose drops before anesthesia in pediatric clinical anesthesia is obvious, which can help make the HR much stable during the anesthesia , and it is worthpopularizing in clinical anesthesia work.