中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
2期
55-56,57
,共3页
焦然%张宁%张迎%王富华
焦然%張寧%張迎%王富華
초연%장저%장영%왕부화
地佐辛%心理干预%小儿全麻%术后躁动
地佐辛%心理榦預%小兒全痳%術後躁動
지좌신%심리간예%소인전마%술후조동
Dezocine%Psychological intervention%Pediatric general anesthesia%Postoperative agitation
目的：探讨地佐辛联合心理干预对小儿斜视术后躁动的影响。方法：择期选取笔者所在医院收治的行小儿斜视矫正手术的60例患儿作为研究对象，按照随机数字表法将其分为观察组和对照组，每组30例。两组术前15 min静注地佐辛0.05 mg/kg并采用氯胺酮静脉全麻，对照组给予常规护理，观察组在常规护理的基础上给予心理干预。观察比较两组患儿的手术时间、苏醒时间、氯胺酮用量、术后镇静和躁动评分及不良反应发生情况。结果：观察组的苏醒时间明显短于对照组，氯胺酮用量明显少于对照组，差异均有统计学意义(P<0.05)。观察组的躁动评分明显低于对照组，差异有统计学意义(t=12.24，P=0.00)，且恶心呕吐发生率0明显低于对照组的20.00%(6/30)，差异有统计学意义(字2=4.63，P=0.03)。两组的手术时间、镇静评分、抑制呼吸及喉痉挛发生率比较差异均无统计学意义(P>0.05)。结论：地佐辛联合心理干预能够明显减少小儿斜视术后躁动的发生，降低不良反应的发生率，具有临床推广价值。
目的：探討地佐辛聯閤心理榦預對小兒斜視術後躁動的影響。方法：擇期選取筆者所在醫院收治的行小兒斜視矯正手術的60例患兒作為研究對象，按照隨機數字錶法將其分為觀察組和對照組，每組30例。兩組術前15 min靜註地佐辛0.05 mg/kg併採用氯胺酮靜脈全痳，對照組給予常規護理，觀察組在常規護理的基礎上給予心理榦預。觀察比較兩組患兒的手術時間、囌醒時間、氯胺酮用量、術後鎮靜和躁動評分及不良反應髮生情況。結果：觀察組的囌醒時間明顯短于對照組，氯胺酮用量明顯少于對照組，差異均有統計學意義(P<0.05)。觀察組的躁動評分明顯低于對照組，差異有統計學意義(t=12.24，P=0.00)，且噁心嘔吐髮生率0明顯低于對照組的20.00%(6/30)，差異有統計學意義(字2=4.63，P=0.03)。兩組的手術時間、鎮靜評分、抑製呼吸及喉痙攣髮生率比較差異均無統計學意義(P>0.05)。結論：地佐辛聯閤心理榦預能夠明顯減少小兒斜視術後躁動的髮生，降低不良反應的髮生率，具有臨床推廣價值。
목적：탐토지좌신연합심리간예대소인사시술후조동적영향。방법：택기선취필자소재의원수치적행소인사시교정수술적60례환인작위연구대상，안조수궤수자표법장기분위관찰조화대조조，매조30례。량조술전15 min정주지좌신0.05 mg/kg병채용록알동정맥전마，대조조급여상규호리，관찰조재상규호리적기출상급여심리간예。관찰비교량조환인적수술시간、소성시간、록알동용량、술후진정화조동평분급불량반응발생정황。결과：관찰조적소성시간명현단우대조조，록알동용량명현소우대조조，차이균유통계학의의(P<0.05)。관찰조적조동평분명현저우대조조，차이유통계학의의(t=12.24，P=0.00)，차악심구토발생솔0명현저우대조조적20.00%(6/30)，차이유통계학의의(자2=4.63，P=0.03)。량조적수술시간、진정평분、억제호흡급후경련발생솔비교차이균무통계학의의(P>0.05)。결론：지좌신연합심리간예능구명현감소소인사시술후조동적발생，강저불량반응적발생솔，구유림상추엄개치。
Objective:To investigate the effect of Dezocine combined with perioperative psychological intervention on agitation in children after strabismus diorthosis.Method:A total of 60 children for pediatric strabismus surgery admitted to our hospital were selected as research objects,they were randomly divided into the observation group and the control group,30 cases in each group.The two groups were given Dezocine 0.05 mg/kg by intravenous injection at 15 minutes before the surgery and underwent general anesthesia with Ketamine.The control group was given conventional care,the observation group was given the psychological intervention on the basis of conventional care.The operation time,recovery time,the dosage of Ketamine,postoperative sedation and agitation scores and the incidence of adverse reaction between the two groups were observed and compared.Result:The recovery time of observation group was significantly shorter than that of control group,the dosage of Ketamine in observation group was significantly less than that in control group,the differences were statistically significant(P<0.05).The agitation score of observation group was significantly lower than that of control group,the difference was statistically significant(t=12.24, P=0.00),the incidence of nausea and vomiting was 0,it was significantly lower than 20.00%(6/30) of control group,the difference was statistically significant (χ2=4.63,P=0.03).There were no statistically significant differences in the operation time,sedation score,incidence of respiratory inhibition and laryngospasm between the two groups(P>0.05).Conclusion:Dezocine combined with psychological intervention can significantly reduce the occurrence of postoperative agitation of the pediatric strabismus,and also reduce the incidence of adverse reactions.It has a certain clinical spread value.
