右美托咪定用于小儿癫痫核磁共振检查的效果观察.docVIP

右美托咪定用于小儿癫痫核磁共振检查的效果观 赵春玲1王秀春2王清涛2安文峰3宋长更3臧颖卓1史立信4 （1河北省清河县人民医院内科河北清河054800） （2河北省清河县人民医院影像科河北清河054800） （3河北省威县人民医院神经内科河北威县054700） （4河北省清河县人民医院神经外科河北清河054800） 【摘要】目的：观察右美托咪定对小儿癫痫核磁共振检查躁动的预防作用。 方法：60名患儿随机分成三组：右美托咪定组，咪唑安定组，丙泊酚组，每组 20例。对比观察躁动发生率、不良反应发生率，观察三组患者的核磁共振扫描 效果及麻醉效果。结果：右美托咪定组躁动发生率明显低于咪唑安定组和丙泊酚 组，右美托咪定组患者的呼吸抑制率和呕吐及不成功例数明显低于咪唑安定组与 丙泊酚组的发生率，均有显著性差异（Plt;0.05）。结论：右美托咪定能够明显 降低癫痫小儿核磁共振检查躁动发生率，减少不良反应发生率，具有一定的应用 价值。 【关键词】右美托咪定；小儿；癫痫；核磁井振检查；躁动 【中图分类号】R720.5 【文献标识码】A 【文章编号】1007-8231 （2015） 13-0013-02 The Sedative observation on the agitation of the epilepsy children who received dexmedetomidine before MRI examination Zhao Chunlingl,Wang Xiuchun2, Wang Qingtao2,An Wenfeng3,Song Changgeng3, Zang Yingzhuol,Shi Lixinl IDepartment of Neurology, Qinghe peoplersquo;s hospital,Qjnghe,054800,China 2Department of Imaging, Qinghe peoplersquo;s hospital,Qinghe,054800,China3Department of Neurology, WeiXian Peoplersquo;s Hospital, WeiXian 054700,China 【Abstract】 Objective To observe the preventive effect of dexmedetomidine on the agitation of the epilepsy children who received dexmedetomidine before MRI examination. Method 60 children were randomly divided into three groups namely dexmedetomidine group, midazolam group and propofol group (20 in each group). The incidence of postoperative agitation and untoward affect were observed and recorded to observe the effect of MRI scans of three groups of patients and the effects of anesthesia.Results The incidence of postoperative agitation of dexmedetomidine group can decreased increasely than that of midazolam group and propofol group,while incidence of untoward affect of children sedated with dexmedetomidine group can dreased increasely, There were signifantly differences between the two groups. (Plt;0.05) .Conclusion The incidence of postoperative agitation and untoward affect of epilepsy children could be decreased who received dex before MRI examination,It can be used in practice. 【Key words】 Dexmedetomidine;Pediatrics;Epilepsy;Magneti