摘要
摘要目的探讨地佐辛联合小剂量丙泊酚对小儿全麻苏醒期躁动的影响.方法选择１００例在全麻条件下行扁桃体或腺样体摘除术的小儿患者作为研究对象,将其随机分为对照组与观察组,每组５０例.所有患儿均进行七氟醚联合瑞芬太尼麻醉,其中对照组患者手术结束前１５min静脉注射０．１mg/kg地佐辛,观察组患儿手术结束前１５min静脉注射０．１mg/kg地佐辛后,静脉注射１mg/kg丙泊酚.比较两组患儿平均手术时间、苏醒时间、苏醒后VAS疼痛评分、苏醒后躁动评分、镇静满意率以及不良反应发生率情况.结果观察组患儿苏醒后躁动评分显著低于对照组患儿(P＜０．０５);苏醒时、苏醒后１３min、３０min的镇静满意率显著高于对照组患儿(P＜０．０５);观察组患儿苏醒后恶心呕吐的不良反应发生率显著低于对照组患儿(P＜０．０５).结论地佐辛联合小剂量丙泊酚对于小儿全麻苏醒期躁动具有显著的效果,能够明显降低患儿苏醒后的躁动反应,值得临床推广使用.关键词小儿全身麻醉;躁动反应;地佐辛;丙泊酚AbstractObjectiveToinvestigatetheeffectofdezocinecombinedwithsmalldoseofpropofolonemergenceagitationinchildren．Methods１００casesofpediatricpatientswiththeconditionofgeneralanesthesiawererandomlydividedintocontrolgroupandobservationgroupwith５０casesineachgroup．Allpatientswereofsevofluranecombinedwithremifentanilanesthesia,thecontrolgroupofpatientswithendbefore１５minintravenousinjectionof０．１mg/kgofdezocine,patientsintheobservationgroupattheendoftheoperationbefore１５minintravenousinjectionof０．１mg/kgofdezocine,intravenousinjectionofpropofol１mg/kg．Theaverageoperationtime,recoverytime,VASpainscore,restlessscore,ZhenJingsatisfactionrateandadversereactionratewerecomparedbetweenthetwogroups．Resultsthescoresoftheobservationgroupweresignificantlylowerthanthoseinthecontrolgroup(P＜０．０５);thesedationsatisfactionrateof３０minand１３minweresignifiＧcantlyhigherthanthoseincontrolgroup(P＜０．０５)．Theincidenceofadversereactionsinobservationgroupwassignificantlylowerthanthatincontrolgroup(P＜０．０５)．Conclusiondezocinecombinedwithsmalldoseofpropofolinpediatricanesthesiaemergenceagitationhassignificanteffect,cansignificantlyreducethechildrenintherecoveryaftertheagitatedreaction,itisworthforclinicaluse．Keywordspediatricgeneralanesthesia;restlessness;Zosin;Propofol中图分类号R６１４．２文献标识码B文章编号１００８－６３１５(２０１５)１２－０５３３－０２
出版日期
2015年12月22日（中国Betway体育网页登陆平台首次上网日期，不代表论文的发表时间）
