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右美托咪定在经皮房间隔缺损介入封堵术患儿监护性麻醉中的应用效果 被引量:2

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摘要 目的 观察右美托咪定在经皮房间隔缺损(ASD)介入封堵术患儿监护性麻醉(MAC)中的应用效果.方法 选取60例房间隔缺损患儿作为研究对象,在MAC下进行经皮ASD介入封堵术.观察组在麻醉过程中复合应用右美托咪定,对照组给予常规监护下静脉麻醉,观察两组患儿在入室时(T0)、股静脉插管时(T1)、封堵器释放时(T2)、股静脉拔管时(T3)、患儿苏醒时(T4)的镇静情况、血流动力学指标及术后患儿的焦躁情况和疼痛情况.结果 观察组患儿镇静评分在T1、T3、T4与对照组无差异,而在T2评分优于对照组且具有统计学差异(P<0.05);观察组患儿T1、T2、T3、T4的血流动力学指标较对照组更加稳定,差异具有统计学意义(P<0.05);观察组术后的焦躁情况和疼痛情况均低于对照组,差异具有统计学意义(P<0.05).结论 在MAC中复合应用右美托咪定进行经皮ASD介入封堵术,可以有效地减少患儿的应激反应,减少术后的痛苦,值得在临床麻醉工作中应用.
出处 《中国急救医学》 CAS CSCD 北大核心 2016年第S2期88-89,共2页 Chinese Journal of Critical Care Medicine
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