帕瑞昔布钠联合地佐辛预防瑞芬太尼和七氟醚复合麻醉术后小儿躁动的效果-论文.pdf

《帕瑞昔布钠联合地佐辛预防瑞芬太尼和七氟醚复合麻醉术后小儿躁动的效果-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、现代医院2014年5月第14卷第5期专业技术篇ModemHospitalMay2014Vol14No5帕瑞昔布钠联合地佐辛预防瑞芬太尼和七氟醚复合麻醉术后小儿躁动的效果何卓文EFFECT0FPARECO×lBSODIUMCOMBINEDWITHDEZ0CINEINTHEPREVENTION0FPOST0PERIVERESTLESSNESSlNCHlLDRENRECE}VlNGREMIFENTANIL—SEV0FLURANEANESTHESIAHEzhuowen【摘要】目的观察帕瑞昔布钠联合地佐辛在预防治瑞芬太尼和七氟醚

2、复合麻醉术后小儿躁动的效果。方法将40例拟气管内全麻下腹腔镜鞘状突高位结扎术的患儿随机分为对照组和观察组各20例。对照组和观察组使用的麻醉诱导和维持方法相同，只是观察组在诱导插管后加静注帕瑞昔布钠0．6ms／kg，地佐辛0．4me,／kg。记录两组麻醉时间、手术时间、术后拔管时间、苏醒时间和离室时间；两组患儿躁动评分(RS)和疼痛评分(VAS)；拔管后恶心呕吐、呼吸抑制和低氧血症的发生率。结果两组患儿麻醉时间、手术时间、术后拔管时间和停留室间时间无统计学差异(P>0．05)；观察组患儿的躁动评分和疼痛评分明显低于对照组

3、(P<0．05)；苏醒期间观察组的不良反应人数明显低于对照组(P<0．05)。结论诱导插管后追加注射帕瑞昔布钠0．6ms／kg和地佐辛0．4ms／10kg预防小儿腹腔镜术后瑞芬太尼和七氟醚引发的躁动效果显著。【关键词】小儿；腹腔镜；瑞芬太尼；七氟醚；躁动；帕瑞昔布钠；地佐辛【Abstract】ObjectiveToobservetheinhibitoryeffectofParecoxibsodiumcombinedwithdezocineonrest—lessnessininfantsreceivinglaparosc

4、opichighligationofprocessusvaginalis．MethodsFourtyinfantsreceivinglapa-roscopichighligationofprocessusvaginalisunderendotrachealanesthesiawererandomlydividedintotwogroups，thecontrolgroupandobservationgroup．with20caseseach．Thesamemethodforinductionandmaintenanceo

5、fendotra—chealanesthesiawasusedforthecontrolgroupandobservationgroup．Parecoxibsodiumof0．6ms／kganddezocineof0．4ms／kgwasintravenouslyadministeredintheobservationgroupafterinductionandintubation．Thetimeofan-esthesia，operation，postoperativeextubation，recoveryandroom

6、leavingofthetwogroupswererecorded．Therest—lessnessscore(RS)，visualanalogpainscale(VAS)，aswellastheincidencesofnauseaandvomiting，respiratorydepressionandhypoxemiaafterextubationwerealsorecorded．ResultsNosignificantdifferencewasobservedinthetimeofanesthesia，operat

7、ion，postoperativeextubationandroomleavingbetweentheobservationgroupandthecontrolgroup(P>0．05)．TheRSandVASoftheinfantsintheobservationgroupweresignificantlylowerthanthoseofthecontrolgroup(P<0．05)．Thenumberofinfantswithadversereactionsduringtherecoveryperiodintheo

8、bservationgroupwassignificantlyhigherthanthatofthecontrolgroup(P<0．05)．ConclusionTheadministrationofParecoxihsodiumof0．6mg／kgcombinedwithdezocineof0．4ms／10kgafterindu