延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2014年
20期
72-73
,共2页
地佐辛%小儿全身麻醉%苏醒期躁动
地佐辛%小兒全身痳醉%囌醒期躁動
지좌신%소인전신마취%소성기조동
Dezocine%pediatric anesthesia%restlessness
目的：探讨地佐辛对小儿全身麻醉苏醒期躁动的预防效果。方法：选择我院2011年6月至2013年8月收治的90例行全身麻醉患儿，随机分为对照组45例，观察组45例，所有患儿行常规全身麻醉，对照组手术结束前静脉滴注NaCl溶液2ml，观察组手术结束前静脉滴注0.1mg/kg地佐辛。对两组麻醉时间、手术时间、苏醒时间、拔管时间进行记录，并观察患者心率和动脉压。结果：两组患者拔管时间、手术时间、麻醉时间对比无统计学意义（P＞0.05）；观察组苏醒期躁动评分显著低于对照组（P＜0.05）；两组患儿心率和平均动脉压对比差异显著，（P＜0.05）差异有统计学意义。结论：地佐辛在小儿全身麻醉苏醒期躁动中具有着非常显著的效果，能有效提高患儿苏醒期安全性，非常值得在临床进一步推广使用。
目的：探討地佐辛對小兒全身痳醉囌醒期躁動的預防效果。方法：選擇我院2011年6月至2013年8月收治的90例行全身痳醉患兒，隨機分為對照組45例，觀察組45例，所有患兒行常規全身痳醉，對照組手術結束前靜脈滴註NaCl溶液2ml，觀察組手術結束前靜脈滴註0.1mg/kg地佐辛。對兩組痳醉時間、手術時間、囌醒時間、拔管時間進行記錄，併觀察患者心率和動脈壓。結果：兩組患者拔管時間、手術時間、痳醉時間對比無統計學意義（P＞0.05）；觀察組囌醒期躁動評分顯著低于對照組（P＜0.05）；兩組患兒心率和平均動脈壓對比差異顯著，（P＜0.05）差異有統計學意義。結論：地佐辛在小兒全身痳醉囌醒期躁動中具有著非常顯著的效果，能有效提高患兒囌醒期安全性，非常值得在臨床進一步推廣使用。
목적：탐토지좌신대소인전신마취소성기조동적예방효과。방법：선택아원2011년6월지2013년8월수치적90례행전신마취환인，수궤분위대조조45례，관찰조45례，소유환인행상규전신마취，대조조수술결속전정맥적주NaCl용액2ml，관찰조수술결속전정맥적주0.1mg/kg지좌신。대량조마취시간、수술시간、소성시간、발관시간진행기록，병관찰환자심솔화동맥압。결과：량조환자발관시간、수술시간、마취시간대비무통계학의의（P＞0.05）；관찰조소성기조동평분현저저우대조조（P＜0.05）；량조환인심솔화평균동맥압대비차이현저，（P＜0.05）차이유통계학의의。결론：지좌신재소인전신마취소성기조동중구유착비상현저적효과，능유효제고환인소성기안전성，비상치득재림상진일보추엄사용。
To investigate Dezocine general anesthesia for pediatric preventive effect of agitation . Methods:Our hospital from June 2011 to August 2013 were treated 90 children with routine general anesthesia were randomly divided into a control group of 45 patients in the observation group 45 cases , all patients underwent routine general anesthesia , the end of the control group before surgery intravenous infusion of NaCl solution 2ml, before the end of the observation group operative intravenous 0.1mg/kg dezocine . Two groups of anesthesia time , surgery time, recovery time , extubation time record heart rate and arterial pressure were observed in patients . Results:The two groups of patients extubation time , surgery time , anesthesia time comparison was not statistically significant (P>0.05);observation group restlessness scores were significantly lower than the control group (P<0.05);groups of children with heart rate and mean arterial pressure contrast significantly different , (P<0.05) difference was statistically significant . Conclusion:Dezocine in pediatric anesthesia emergence agitation in a significant preventive effect , can improve the safety of anesthesia , worthy of further pro-motion use .
