CAJ | 학술논문

目的：探讨不同剂量曲马多预防七氟醚小儿麻醉术后躁动的应用效果。方法将2011年1月～2013年12月行下腹部手术的77例患儿根据气管插管后注入曲马多的不同剂量分为A组（n=40，气管插管后静脉注入曲马多l mg/kg）和B组（n=37，气管插管后静脉注入曲马多2 mg/kg），对2组患儿躁动及麻醉效果进行综合比较。结果 A组与B组轻度或无躁动的比例分别为45.00%和70.27%；组间比较差异有统计学意义(P<0.05)；2组患儿中度躁动和重度躁动比例比较差异无统计学意义；B组躁动评分[（2.1±0.5）分]高于A组[（1.4±0.9）分]（P<0.01）；B组镇静评分[（2.4±0.5）分]显著高于A组[（2.2±0.7）分]。结论2mg/kg的曲马多可有效减轻小儿七氟醚麻醉术后躁动，推广应用。
목적：탐토불동제량곡마다예방칠불미소인마취술후조동적응용효과。방법장2011년1월～2013년12월행하복부수술적77례환인근거기관삽관후주입곡마다적불동제량분위A조（n=40，기관삽관후정맥주입곡마다l mg/kg）화B조（n=37，기관삽관후정맥주입곡마다2 mg/kg），대2조환인조동급마취효과진행종합비교。결과 A조여B조경도혹무조동적비례분별위45.00%화70.27%；조간비교차이유통계학의의(P<0.05)；2조환인중도조동화중도조동비례비교차이무통계학의의；B조조동평분[（2.1±0.5）분]고우A조[（1.4±0.9）분]（P<0.01）；B조진정평분[（2.4±0.5）분]현저고우A조[（2.2±0.7）분]。결론2mg/kg적곡마다가유효감경소인칠불미마취술후조동，추엄응용。
Objective To investigate the prevention of different doses of tramadol after sevoflurane anesthesia in children restlessness application effect.Methods 77 cases of children in January 2011-December 2013 row after lower abdominal surgery under intubation injection of different doses of tramadol divided into group A (n=40, after intravenous injection of intubation tramadol 1mg/ kg) and group B (n= 37, after intubation intravenous injection tramadol 2mg / kg), for the two groups of children were restless and comprehensive comparison of the effect of anesthesia.Results A group and B group with mild or no agitation rates were 45.00% and 70.27%; Difference between groups was statistically significant (P<0.05); 2 groups of children with moderate and severe restless agitation no statistical difference between the proportion of significance; Group B agitation score [(2.1 ± 0.5) min] than in group A [(1.4 ± 0.9) min] (P<0.01); Group B sedation score [(2.4 ± 0.5) min] was significantly higher in group A [(2.2 ± 0.7) min].Conclusion 2mg / kg of tramadol can effectively reduce sevoflurane anesthesia in children after agitation, promotion and application.