地佐辛对小儿耳鼻喉手术全身麻醉苏醒期躁动的影响  

Effect of Dezocine General Anesthesia in Pediatric ENT Surgery Restlessness

作　　者：曾春红[1] 

机构地区：[1]四川省绵阳市中心医院麻醉科,绵阳621000

出　　处：《中国医药导刊》2015年第10期1045-1046,1049,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨地佐辛对减轻小儿耳鼻喉手术全身麻醉苏醒期躁动的作用。方法:选取我院收治的行全身麻醉耳鼻喉手术的小儿患者作为研究对象,并随机分为对照组和观察组,所有患者术前接受相同的治疗,使用东莨菪碱、芬太尼、异丙酚和罗库溴铵诱导麻醉,微量泵入异丙酚、瑞芬太尼维持麻醉。手术结束前观察组静脉滴注地佐辛,对照组滴注生理盐水。结果:两组小儿患者手术时间、麻醉时间及拔管时间差异无统计学意义(P>0.05),拔管后15min时,观察组患者的平均动脉压(79.0±6.9)mm Hg和心率(98.0±15.5)次/min均低于对照组的平均动脉压(94.2±8.3)mm Hg和心率(115.1±17.2)次/min,差异有统计学意义(P<0.05);观察组小儿患者躁动情况控制率显著(80.0%)高于对照组(26.7%),且观察组平均躁得分(0.67±0.11)低于对照组(1.96±0.46),差异有统计学意义(P<0.05)。结论:地佐辛对减轻小儿耳鼻喉手术全身麻醉苏醒期躁动效果显著。Objective： To investigate the Dezocine pediatric ENT surgery to relieve restlessness general anesthesia role. Methods：Our hospital ENT surgery under general anesthesia in pediatric patients for the study and randomly divided into control group and observation group,all patients received the same treatment,the use of scopolamine,fontanel,protocol and rocuronium-induced anesthesia,micro-pump protocol remifentanil anesthesia was maintained.Before the end of surgery,intravenous Dezocine observation group and control group with normal saline infusion.Results：The two groups of pediatric patients operative time,anesthesia time and estuation time was no significant difference（P〈0.05）,15 min after estuation,observe the group of patients with mean arterial pressure（79.0±6.9）mm Hg and heart rate（98.0±15.5）times / min were lower than the control group, mean arterial pressure（94.2±8.3）mm Hg and heart rate（115.1±17.2）times / min,the difference was statistically significant（P〈0.05）;observation group control rate of pediatric patients restlessness significantly（80.0%） was higher（26.7%）,and the observation group,the average score of manic（0.67±0.11） than the control group（1.96 ± 0.46）,the difference was statistically significant（P〈0.05）.Conclusion：Dezocine pediatric ENT surgery to relieve restlessness general anesthesia effect is remarkable, worthy of promotion.

关 键 词：地佐辛 耳鼻喉手术 全身麻醉 苏醒期躁动 

分 类 号：R726.1[医药卫生—儿科]