小儿腺样体手术中应用右美托咪定干预对苏醒期躁动影响的研究

Study on the Influence of Dexmedetomidine Intervention on Agitation during Recovery Period during Adenoid Operation in Children

目的分析小儿腺样体手术中应用右美托咪定干预对苏醒期躁动的影响。方法选择泉州市惠安县医院2022年3月至2023年12月收治的60例腺样体手术患儿作为研究对象,按照随机数字表法分为研究组(腺样体等离子切除术治疗加右美托咪定干预)与对照组(腺样体等离子切除术治疗加常规麻醉干预),每组各30例。对比两组患儿血流动力学、临床评分和安全性。结果两组患儿手术后心率和无创平均动脉压及血氧饱和度对比无统计学意义(P>0.05);研究组术后视觉模拟评分(Visual Analogue Scale,VAS)和儿童麻醉后苏醒期躁动评分(Pediatric Anesthesia Emergence Delirium,PAED)及不良反应发生率明显低于对照组,而镇痛评分明显高于对照组(P<0.05)。结论在小儿腺样体手术中提供右美托咪定干预,可稳定血流动力学,提高镇痛、镇静效果,降低患儿苏醒期躁动风险。

Objective To analyze the effects of dexmedetomidine intervention on emergence agitation in children undergoing adenoid surgery.Methods 60 children with adenoid surgery admitted to Huian County Hospital from March 2022 to December 2023 were divided into the study group(30 cases,adenoid plasma resection+dexmedetomidine)and the control group(30 cases,adenoid plasma resection+conventional anesthesia intervention)by random number table method.Results There was no significant difference in heart rate,noninvasive mean arterial pressure,and blood oxygen saturation between the two groups(P>0.05).The postoperative pain score,PAED score,and incidence of adverse reactions in the study group were significantly lower than those in the control group,and the analgesia score in the study group was significantly higher than that in the control group(P<0.05).Conclusion Dexmedetomidine intervention in pediatric adenoid surgery can stabilize hemodynamics,improve analgesia and sedation effects,and reduce the risk of agitation during th e recovery period.