右美托咪定复合布比卡因骶管阻滞对预防七氟醚小儿麻醉苏醒期躁动的.PDFVIP

著 学信息2018 年4 月第31 卷第8 期 Medical Information. Apr. 2018. Vol. 31. No.8 美托咪定复合布比卡因骶管阻滞对预防七氟醚 小儿麻醉苏醒期躁动的观察分析 绪飞 梁永新 渊青岛大学医学院附属医院麻醉科 山东 青岛 266003冤 摘 要 目的 右美托咪定复合布比卡因骶管阻滞预防小儿七氟醚麻醉术后苏醒期躁动的效果遥方法 选择2~6 岁择期行疝尧鞘 膜积液尧尿道下裂 隐睾手术治疗的患儿60 例遥 所有患儿均为ASA1 级 均行骶管阻滞 随机分为两组 每组30 例 B-D 组行 0.25%布比卡因复合1.5 g/kg 右美托咪定骶管阻滞曰B 组单纯应用0.25%布比卡因行骶管阻滞遥 比较两组患儿术后PAED 评 分尧FLACC 疼痛评分及脸谱疼痛评分遥记录麻醉 导前 骶管阻滞前 骶管阻滞后每隔10 min 的HR尧MAP尧SpO 尧ETCO 遥结果 2 2 两组患儿T T 期间HR尧MAP尧SpO 差异, 无统计学意义 渊 0.05冤遥 B 组呼气末七氟醚浓度 渊1.93依0.33冤vol%高于B-D 组 1 6 2 渊1.22依0.21冤vol% 差异有统计学意义渊 0.05冤遥B-D 组术后脸谱疼痛评分尧FLACC 评分及PAED 评分优于B 组 差异具有统计 学意义渊 0.05冤遥 结 右美托咪定复合布比卡因骶管阻滞能有效减少七氟醚小儿麻醉苏醒期躁动发生遥 关键词 小儿曰右美托咪定曰七氟醚曰躁动 中图分类号 R726.1 文献标识码 A DOI 10.3969/j .issn.1006-1959.2018.08.024 文章编号 1006-1959渊2018冤08-0078-03 Observation of Dexmedetomidine Combined with Bupivacaine Caudal Block in Preventing Sedation in Children with Sevoflurane during Anesthesia Recovery Period WANG Xu-fei,LIANG Yong-xin (Department of Anesthesiology,Affiliated Hospital of Medical College,Qingdao University,Qingdao 266003,Shandong,China) Abstract Obj ective To observe the effect of dexmedetomidine combined with bupivacaine caudal block in preventing postoperative restlessness after sevoflurane anesthesia in children.Methods Select 2 to 6 -year -old elective cramps,hydrocele,hypospadias, cryptorchidism in 60 cases of children treated.All patients were ASA grade 1 and all received sacral canal block.They were randomly divided into two groups,30 in each group.Group B -D received 0.25% bupivacaine combined with 1.5 g/kg dexmedetomidine for sacral