小儿七氟醚麻醉苏醒期间躁动情况研究  

Study on the Agitation Conditions in Children with Sevoflurane Anesthesia During Anesthesia Recovery Period

作　　者：陈政[1] 彭拓超[1] 裴冬杰[1] 安频[1] 屈双权[1] 

机构地区：[1]湖南省儿童医院,湖南长沙410007

出　　处：《临床医学工程》2016年第6期755-756,共2页Clinical Medicine & Engineering

摘　　要：目的探讨小儿七氟醚麻醉苏醒期间不同年龄段患儿躁动情况。方法选取我院2014年2月至2015年2月期间60例采用七氟醚麻醉进行腹股沟斜疝修补术治疗的3~9岁患儿,其中3~5岁患儿（24例）平分成A组和B组,6~9岁患儿（36例）平分成C组和D组。所有患儿均吸入8%七氟醚进行麻醉诱导,麻醉诱导后A组和C组静脉滴注0.1 mg/kg咪达唑仑和0.1~0.2μg/kg舒芬太尼,并采用2%~3%七氟醚维持麻醉;B组和D组采用3%~5%七氟醚维持麻醉。观察比较四组患儿的麻醉效果和麻醉苏醒期间的躁动情况。结果四组患儿的手术时间、拔除气管时间、苏醒时间比较,差异无统计学意义（P〉0.05）。不同年龄段患儿中,A组躁动率高于C组,B组躁动率高于D组。同年龄段患儿中,A组躁动率显著低于B组,C组躁动率显著低于D组,差异具有统计学意义（P〈0.05）。结论七氟醚麻醉会引起患儿在麻醉苏醒期间出现不同程度的躁动,年龄越小的患儿躁动率更高。静脉注射咪达唑仑和舒芬太尼后,患儿的躁动率明显降低。Objective To investigate the agitation conditions in sevoflurane anesthesia children of different ages during anesthesia recovery period. Methods 60 cases of children aged 3 - 9 and treated with sevoflurane anesthesia for inguinal hernia repair in our hospital fi＇om February 2014 to February 2015 were selected. 24 cases of children age 3 - 5 were equally divided into group A and group B, 36 cases of children aged 6 - 9 were equally divided into group C and group D. All the patients inhaled 8% sevoflurane for anesthesia induction, and after anesthesia induction, group A and group C was given intravenous injection of 0.1 mg/kg midazolam and 0.1 ~ 0.2 ~g/kg sufentanil, and given 2% - 3% sevofturane for anesthesia maintenance; group B and group D was only given 2% ~ 3 % sevoflurane for anesthesia maintenance. The anesthetic effect and condition of agitation during anesthesia recovery period were observed and compared between four groups. Results The operation time, extubation time, recovery time in four groups had no statistical difference （P 〉0.05）. In children of different ages, the agitation rate of group A was higher than that of group C, the agitation rate of group B was higher than that of group D. In children of same age, the agitation rate of group A was significantly lower than that of group B, the agitation rate of group C was significantly lower than that of group D, with statistical difference （P 〈0.05）. Conclusions Sevofturane anesthesia would cause different degrees of agitation in children during anesthesia recovery period, and the younger the children＇s age, the higher the agitation rate. Intravenous infusion ofmidazolam and sufentanil can reduce the agitation rate.

关 键 词：七氟醚 麻醉苏醒期间 小儿躁动 

分 类 号：R726.1[医药卫生—儿科]