中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
10期
1241-1243
,共3页
肾上腺素%艾司洛尔%小儿斜视矫正术%心率
腎上腺素%艾司洛爾%小兒斜視矯正術%心率
신상선소%애사락이%소인사시교정술%심솔
Adrenaline%Esmolol%Squint correction%Heart rate
目的 观察艾司洛尔对斜视矫正术眼滴肾上腺素对患儿的心率影响.方法 选择6～10岁斜视矫正术的患儿90例,随机分为3组,各30例.A组(对照组,术眼滴0.9％生理盐水),B组(术眼滴肾上腺素),C组(术眼滴肾上腺素,并静脉注入艾司洛尔拮抗).监测并记录入手术室前的心率,视基础值为T0,麻醉前T1,麻醉后5 min T2,眼滴肾上腺素,或同时静脉给予艾司洛尔后2min为T3,5min为T4,10 min为T5,60 min为T6.结果 3组(T0-T2)心率的变化比较,差异无统计学意义;B、C 两组心率(T3-T5)各时间点与A组比较,差异有统计学意义,但C组(T3-T5)心率上升明显低于B组,差异有统计学意义.结论 斜视矫正术眼滴肾上腺素可使心率瞬间显著上升,静脉助注艾司洛尔可显著抑制其上升,维持患儿围术期心率平稳.
目的 觀察艾司洛爾對斜視矯正術眼滴腎上腺素對患兒的心率影響.方法 選擇6～10歲斜視矯正術的患兒90例,隨機分為3組,各30例.A組(對照組,術眼滴0.9％生理鹽水),B組(術眼滴腎上腺素),C組(術眼滴腎上腺素,併靜脈註入艾司洛爾拮抗).鑑測併記錄入手術室前的心率,視基礎值為T0,痳醉前T1,痳醉後5 min T2,眼滴腎上腺素,或同時靜脈給予艾司洛爾後2min為T3,5min為T4,10 min為T5,60 min為T6.結果 3組(T0-T2)心率的變化比較,差異無統計學意義;B、C 兩組心率(T3-T5)各時間點與A組比較,差異有統計學意義,但C組(T3-T5)心率上升明顯低于B組,差異有統計學意義.結論 斜視矯正術眼滴腎上腺素可使心率瞬間顯著上升,靜脈助註艾司洛爾可顯著抑製其上升,維持患兒圍術期心率平穩.
목적 관찰애사락이대사시교정술안적신상선소대환인적심솔영향.방법 선택6～10세사시교정술적환인90례,수궤분위3조,각30례.A조(대조조,술안적0.9％생리염수),B조(술안적신상선소),C조(술안적신상선소,병정맥주입애사락이길항).감측병기록입수술실전적심솔,시기출치위T0,마취전T1,마취후5 min T2,안적신상선소,혹동시정맥급여애사락이후2min위T3,5min위T4,10 min위T5,60 min위T6.결과 3조(T0-T2)심솔적변화비교,차이무통계학의의;B、C 량조심솔(T3-T5)각시간점여A조비교,차이유통계학의의,단C조(T3-T5)심솔상승명현저우B조,차이유통계학의의.결론 사시교정술안적신상선소가사심솔순간현저상승,정맥조주애사락이가현저억제기상승,유지환인위술기심솔평은.
Objective To observe the effect of esmolol on children's heart rate who accept squint correction and adrenaline eye drop.Methods Selected six to ten years old children with squint correction of 90 cases were randomly divided into three groups,each group had 30 cases.Group A was control group and accepted 0.9％ physiological saline to sick eye.Group B dropped the adrenaline to sick eye.Group C dropped the adrenaline to sick eye and accepted intravenous injection esmolol antagonist.Monitored and recorded the heart rate before children came into the operating room.The basic value was T0.Before anesthesia was T1,5 minutes after anesthesia was T2,sick eye accepted adrenaline,or at the same time to intravenous injection esmolol then 2 minutes was T3,5 minutes was T4,10 minutes was T5 and 60 minutes was T6.Results The difference of heart rate change (T0-T2) in three groups was not statistically significant.Compared heart rate (T3-T5) of each time point in group B and C with group A,the difference was statistically significant.But heart rate rise (T3-T5) in group C was significantly lower than in group B,the difference was statistically significant.Conclusions During strabismus correction,dropped the adrenaline to sick eye can make the heart rate rise significantly moment,intravenous injection esmolol can significantly inhibit its rise and maintain children's perioperative heart rate steady.
