齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2014年
15期
2194-2196
,共3页
右美托咪定%七氟醚%瑞芬太尼
右美託咪定%七氟醚%瑞芬太尼
우미탁미정%칠불미%서분태니
Dexmedetomidine%Sevoflurane%Remifentanil%Agitation%Anesthesia recovery period
目的:评价右美托咪定对患儿七氟醚复合麻醉恢复期躁动的影响。方法择期行扁桃体及腺样体切除术的阻塞性呼吸睡眠综合征患儿60例,采用随机数字表法,根据七氟醚复合麻醉药物的不同,将患儿分为两组( n=30):右美托咪定组( D组)和瑞芬太尼组( R组)。记录拔管时间、麻醉后恢复室( PACU)停留时间;PACU 期间记录躁动发生情况、持续时间,采用患儿麻醉苏醒期躁动量化评分表(PAED)评分评价躁动程度。患儿入PACU即刻(T0)及15 min(T1)、30 min(T3)、60 min(T3)时行疼痛视觉模拟评分(VAS)和镇静评分(Ramsay)分别评价疼痛程度和镇静程度。记录PACU期间患者不良反应的发生情况。结果与R组比较, D组躁动发生率和PEAD评分降低,躁动持续时间缩短,术后各时点VAS评分降低,Ramsay评分升高(P<0.05);两组患儿拔管时间、PACU停留时间、PACU期间不良反应比较差异无统计学意义( P>0.05)。结论右美托咪定可安全有效地预防患儿七氟醚复合麻醉恢复期躁动的发生。
目的:評價右美託咪定對患兒七氟醚複閤痳醉恢複期躁動的影響。方法擇期行扁桃體及腺樣體切除術的阻塞性呼吸睡眠綜閤徵患兒60例,採用隨機數字錶法,根據七氟醚複閤痳醉藥物的不同,將患兒分為兩組( n=30):右美託咪定組( D組)和瑞芬太尼組( R組)。記錄拔管時間、痳醉後恢複室( PACU)停留時間;PACU 期間記錄躁動髮生情況、持續時間,採用患兒痳醉囌醒期躁動量化評分錶(PAED)評分評價躁動程度。患兒入PACU即刻(T0)及15 min(T1)、30 min(T3)、60 min(T3)時行疼痛視覺模擬評分(VAS)和鎮靜評分(Ramsay)分彆評價疼痛程度和鎮靜程度。記錄PACU期間患者不良反應的髮生情況。結果與R組比較, D組躁動髮生率和PEAD評分降低,躁動持續時間縮短,術後各時點VAS評分降低,Ramsay評分升高(P<0.05);兩組患兒拔管時間、PACU停留時間、PACU期間不良反應比較差異無統計學意義( P>0.05)。結論右美託咪定可安全有效地預防患兒七氟醚複閤痳醉恢複期躁動的髮生。
목적:평개우미탁미정대환인칠불미복합마취회복기조동적영향。방법택기행편도체급선양체절제술적조새성호흡수면종합정환인60례,채용수궤수자표법,근거칠불미복합마취약물적불동,장환인분위량조( n=30):우미탁미정조( D조)화서분태니조( R조)。기록발관시간、마취후회복실( PACU)정류시간;PACU 기간기록조동발생정황、지속시간,채용환인마취소성기조동양화평분표(PAED)평분평개조동정도。환인입PACU즉각(T0)급15 min(T1)、30 min(T3)、60 min(T3)시행동통시각모의평분(VAS)화진정평분(Ramsay)분별평개동통정도화진정정도。기록PACU기간환자불량반응적발생정황。결과여R조비교, D조조동발생솔화PEAD평분강저,조동지속시간축단,술후각시점VAS평분강저,Ramsay평분승고(P<0.05);량조환인발관시간、PACU정류시간、PACU기간불량반응비교차이무통계학의의( P>0.05)。결론우미탁미정가안전유효지예방환인칠불미복합마취회복기조동적발생。
Objective To investigate the effect of dexmedetomidine ( DEX ) on emergence agitation ( EA) during recovery from sevoflurane -based anaesthesia in children .Methods Sixty obstructive sleep apnea syndrome patients those who need to undergoing tonsil and adenoidectomy were randomly divided into DEX group (group D) and remifentanil group (group R), 30 patients in each group.The extubation time and length of stay in the postanesthesia care unit(PACU) were recorded.Agitation and the duration were recorded when the children were in PACU.The degree of EA was assessed using the Pediatric Anesthesia Emergence Delirium (PAED)scale.Pain was evaluated using the visual anaglogur scale (VAS) and sedation was measured with Ramsay score . The complications were recorded within PACU .Results Compared with group R , the incidence of EA and PAED scores were significantly decreased and the duration of EA was shortened in group D (P<0.05), the VAS scores were decreased and the Ramsay scores were increased at each time point in group D (P<0.05).There was no significant difference in extubation , length of stay in PACU and the complications in PACU at each time point between the two groups(P>0.05).Conclusions DEX can prevent EA during recovery from sevoflurane -based anaesthesia in children from occurring safely and effectively .