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探讨七氟烷复合咪达唑仑对小儿全麻术后躁动的临床影响因素

To investigate the clinical effects of sevoflurane and midazolam on restlessness after general anesthesia in children
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摘要 目的探讨运用七氟烷复合咪达唑仑对小儿全麻术后躁动所产生的影响。方法选取2017年1月至12月期间我院录入接受全麻手术的患儿(ASAⅠ级)共计80例作为研究对象,随机分为对照组与观察组(40例/组),对照组采用七氟烷进行治疗,观察组患者则选取七氟烷复合咪达唑仑。对两组患儿各项临床指标进行实时监测并进行记录分析。结果对所需指标进行检测分析发现,与对照组比较,观察组患儿心率与血压明显降低(P<0. 05),具有显著性差异。同时,观察组患儿躁动发生率和躁动程度明显低于对照组(P<0. 05)。结论将七氟烷复合咪达唑仑共同使用,其对患儿全麻术后躁动抑制效果更加,其临床疗效显著,可明显减轻患儿在全麻术中出现的躁动不适。故此疗法在临床实际应用时更具优势,值得深入研究并在未来广泛推广合理应用于临床。 Objective To explore the effects of sevoflurane and midazolam on restlessness after general anesthesia in children. Methods Choose 80 children who came to our hospital between January and December 2017 accepted general anesthesia surgery( ASAⅠ) as the research object. All the chosen children were randomly divided into control group and observation group( 40 cases/group). The control group were treated with sevoflurane,the observation group patients were treated with sevoflurane combined with midazolam. The related clinical indexes of the two groups were monitored and recorded. Results According to the test indexes results of the required indicators,compared with the control group,the heart rate and blood pressure of the observation group significantly decreased( P<0. 05),showing a significant difference. At the same time,the incidence and degree of agitation in the observation group were significantly lower than those in the control group( P<0. 05). Conclusion The combined use of sevoflurane and midazolam is more effective in inhibiting restlessness after general anesthesia in children,and its clinical efficacy is significant,which can significantly reduce restlessness discomfort in children during general anesthesia. Therefore,this therapy has more advantages in clinical practice,and it is worthy to be further studied and widely used in clinical practice in the future.
作者 盖国海 Gai Guohai(Department of Anesthesiology,Xingtang Hospital of traditionalChinese medicine,Hebei Shijiazhuang 050600,China)
出处 《现代医学与健康研究电子杂志》 2018年第16期19-20,共2页 Modern Medicine and Health Research
关键词 七氟烷 咪达唑仑 小儿全麻术 术后躁动 sevoflurane midazolam general anesthesia for children postoperative agitation
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