中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
5期
416-416,417
,共2页
曲马多%咪达唑仑%小儿七氟醚麻醉术%术后苏醒期躁动
麯馬多%咪達唑崙%小兒七氟醚痳醉術%術後囌醒期躁動
곡마다%미체서륜%소인칠불미마취술%술후소성기조동
Tramadol%Midazolam%Pediatric sevoflurane anesthesia%Postoperative restlessness
目的:探讨分析曲马多和咪达唑仑对预防小儿七氟醚麻醉术后苏醒期躁动的效果。方法对我院2010年~2011年实施小儿七氟醚麻醉术的外科手术的小儿80例,随机分为观察组和对照组,每组各40例,观察组术后给予曲马多治疗苏醒期躁动,对照组术后给予咪达唑仑治疗苏醒期躁动,比较两组的治疗效果。结果观察组患儿术后苏醒期未发生躁动的例数为28例,发生躁动的例数为7例,发生严重躁动的例数为5例;对照组患儿术后苏醒期未发生躁动的例数为8例,发生躁动的例数为23例,发生严重躁动的例数为9例。两组比较有显著差异,P<0.05,差异有统计学意义。结论曲马多和咪达唑仑对预防小儿七氟醚麻醉术后苏醒期躁动的效果比较,曲马多比咪达唑仑能显著降低小儿七氟醚麻醉术后苏醒期躁动发生率,曲马多具有良好的中枢性镇痛作用且对呼吸功能和意识状态影响较小,患者生命体征平稳,有利于术后恢复,是一种安全有效的防治方法。
目的:探討分析麯馬多和咪達唑崙對預防小兒七氟醚痳醉術後囌醒期躁動的效果。方法對我院2010年~2011年實施小兒七氟醚痳醉術的外科手術的小兒80例,隨機分為觀察組和對照組,每組各40例,觀察組術後給予麯馬多治療囌醒期躁動,對照組術後給予咪達唑崙治療囌醒期躁動,比較兩組的治療效果。結果觀察組患兒術後囌醒期未髮生躁動的例數為28例,髮生躁動的例數為7例,髮生嚴重躁動的例數為5例;對照組患兒術後囌醒期未髮生躁動的例數為8例,髮生躁動的例數為23例,髮生嚴重躁動的例數為9例。兩組比較有顯著差異,P<0.05,差異有統計學意義。結論麯馬多和咪達唑崙對預防小兒七氟醚痳醉術後囌醒期躁動的效果比較,麯馬多比咪達唑崙能顯著降低小兒七氟醚痳醉術後囌醒期躁動髮生率,麯馬多具有良好的中樞性鎮痛作用且對呼吸功能和意識狀態影響較小,患者生命體徵平穩,有利于術後恢複,是一種安全有效的防治方法。
목적:탐토분석곡마다화미체서륜대예방소인칠불미마취술후소성기조동적효과。방법대아원2010년~2011년실시소인칠불미마취술적외과수술적소인80례,수궤분위관찰조화대조조,매조각40례,관찰조술후급여곡마다치료소성기조동,대조조술후급여미체서륜치료소성기조동,비교량조적치료효과。결과관찰조환인술후소성기미발생조동적례수위28례,발생조동적례수위7례,발생엄중조동적례수위5례;대조조환인술후소성기미발생조동적례수위8례,발생조동적례수위23례,발생엄중조동적례수위9례。량조비교유현저차이,P<0.05,차이유통계학의의。결론곡마다화미체서륜대예방소인칠불미마취술후소성기조동적효과비교,곡마다비미체서륜능현저강저소인칠불미마취술후소성기조동발생솔,곡마다구유량호적중추성진통작용차대호흡공능화의식상태영향교소,환자생명체정평은,유리우술후회복,시일충안전유효적방치방법。
Objective To investigate the analysis of tramadol and midazolam on prevention of pediatric sevoflurane anesthesia postoperative restlessness effect. Methods In our hospital in 2010-2011 year to implement pediatric sevoflurane anesthesia in the surgical operation of 80 children, were randomly divided into the observation group and the control group, 40 cases in each group, the patients in the observation group were given after the restlessness of tramadol in the treatment, the control group was given treatment of midazolam to wake and restlessness, comparison the therapeutic effects of two groups. Results In the experimental group the postoperative recovery period was restless patients to count to 28, occurrence of restless cases 7 cases, severe restlessness of patients in the control group 5 cases;postoperative recovery period was restless patients to count to 8, occurrence of restless patients to count to 23, the occurrence of severe restlessness of patients for 9 cases. The two groups have significant difference, P<0.05, the difference was statistically significant. Conclusion Tramadol and midazolam on prevention of pediatric sevoflurane anesthesia postoperative restlessness of effect of tramadol, than midazolam can significantly reduce pediatric sevoflurane anesthesia postoperative restlessness of incidence, tramadol has good central analgesic effect and on respiratory function and state of consciousness on smaller, vital signs of patients smooth, good postoperative recovery, is a safe and effective prevention and treatment methods.