地佐辛预防小儿全身麻醉苏醒期躁动的临床观察.docVIP

地佐辛预防小儿全身麻醉苏醒期躁动的临床观察 　　摘要：目的：探讨地佐辛对小儿全身麻醉苏醒期躁动的预防效果。方法：选择我院2011年6月至2013年8月收治的90例行全身麻醉患儿，随机分为对照组45例，观察组45例，所有患儿行常规全身麻醉，对照组手术结束前静脉滴注NaCl溶液2ml，观察组手术结束前静脉滴注0.1mg/kg地佐辛。对两组麻醉时间、手术时间、苏醒时间、拔管时间进行记录，并观察患者心率和动脉压。结果：两组患者拔管时间、手术时间、麻醉时间对比无统计学意义（P0.05）；观察组苏醒期躁动评分显著低于对照组（P0.05）；两组患儿心率和平均动脉压对比差异显著，（P0.05）差异有统计学意义。结论：地佐辛在小儿全身麻醉苏醒期躁动中具有着非常显著的效果，能有效提高患儿苏醒期安全性，非常值得在临床进一步推广使用。 　　关键词：地佐辛；小儿全身麻醉；苏醒期躁动 　　Abstract : Objective: To investigate Dezocine general anesthesia for pediatric preventive effect of agitation . Methods: Our hospital from June 2011 to August 2013 were treated 90 children with routine general anesthesia were randomly divided into a control group of 45 patients in the observation group 45 cases , all patients underwent routine general anesthesia , the end of the control group before surgery intravenous infusion of NaCl solution 2ml, before the end of the observation group operative intravenous 0.1mg/kg dezocine . Two groups of anesthesia time , surgery time, recovery time , extubation time record heart rate and arterial pressure were observed in patients . Results: The two groups of patients extubation time , surgery time , anesthesia time comparison was not statistically significant (P 0.05); observation group restlessness scores were significantly lower than the control group (P 0.05); groups of children with heart rate and mean arterial pressure contrast significantly different , (P 0.05) difference was statistically significant . Conclusion : Dezocine in pediatric anesthesia emergence agitation in a significant preventive effect , can improve the safety of anesthesia , worthy of further promotion use . 　　Key words : Dezocine ; pediatric anesthesia ; restlessness 　　全身麻醉苏醒期躁动是小儿全身麻醉后在苏醒期出现的行为与意识分离精神状态[1]，其主要表现为哭喊严重，且难以安抚，呻吟、乱动，定向障碍、语无伦次，出现偏执思维，在此期间无法辨认人、物[2]。因此，在临床上，麻醉医生应该对全身麻醉苏醒期躁动加以重视，并尽量减少和预防此类不良反应发生。本次研究主要是在对患儿进行采用全身麻醉手术治疗的过程中，采用地佐辛用来预防患儿全身麻醉苏醒期躁动现象的出现，使患儿获得了非常好的手术治疗效果，现报道如下： 　　1. 资料与方法 　　1.1一般资料 　　选择我院2011年6月至2013年8月收治的90例行全身麻醉患儿为研究对象，男性52例，女性38例，年龄2~1