右美托咪定对小儿腹腔镜手术麻醉恢复期躁动影响.docVIP

右美托咪定对小儿腹腔镜手术麻醉恢复期躁动影响 　　[摘要] 目的 研究分析使用右美托咪定对小儿腹腔镜手术术后麻醉恢复期躁动的临床影响。 方法 选取2013年6月～2015年10月收治的行腹腔镜手术62例患儿，随机分为观察组与对照组，对照组进行常规麻醉，观察组在麻醉诱导前使用右美托咪定静脉输注，观察两组患儿手术麻醉及恢复期躁动情况。 结果 观察组麻醉恢复期躁动及呼吸道不良事件相比对照组明显减少，躁动持续时间及躁动评分明显少于对照组，镇静评分高于对照组，差异有统计学意义（P0.05）。 结论 在小儿腹腔镜手术中应用右美托咪定，能够起到良好的镇静作用，有效减少麻醉恢复期躁动发生频率、持续时间，并降低不良事件的发生，具有理想的临床应用效果。 　　[关键词] 腹腔镜手术；麻醉恢复期；右美托咪定；躁动 　　[中图分类号] R971+.2 [文献标识码] A [文章编号] 1674-4721（2016）04（b）-0119-03 　　[Abstract] Objective To investigate and analyze the clinical effects of dexmedetomidine on the dysphoria at the anesthesia recovery period in the pediatric laparoscopic surgery. Methods 62 children who were admitted to our hospital and conducted laparoscopic surgeries from June 2013 to October 2015 were selected and randomly divided into observation group and control group.Patients from control group were given conventional anesthesia and patients from observation group were given dexmedetomidine by venous injection before anesthesia induction.The anesthesia and dysphoria situation of patients from both groups were observed. Results Dysphoria and respiratory adverse events during anesthesia recovery period in observation group were obviously less than those in control group，the duration and grading of dysphoria was significantly shorter and lower than that of control group，sedation grading was significantly higher than that of control group and the differences had statistical significance （P0.05）. Conclusion The application of dexmedetomidine has good sedation effects in the pediatric laparoscopic surgeries with effective decrease of the frequency and duration time of dysphoria at anesthesia recovery period and reduction of the incidence of adverse events， which has satisfactory clinical application effects. 　　[Key words] Laparoscopic surgery；Anesthesia recovery period；Dexmedetomidine；Dysphoria 　　在目前对小儿健康关注度逐渐提高的情况下，临床外科中微创手术的应用比例也在快速地升高[1]。小儿腹腔镜手术已经逐渐成为儿外科较为常用的重要术式，虽然该术式具有良好的微创术式优势，但需要应用全身麻醉，在麻醉苏醒期，患儿由于切口疼痛刺激、机体水电解质紊乱、缺氧、药物作用及其他刺激因素的影响，常会出现恢复期躁动[2]。小