患儿门诊镇静相关不良事件的回顾性分析  

A restrospective analysis of sedation-related adverse events in pediatric outpatients

作　　者：屈双权[1] 肖婷[1] 裴冬杰[1] 陈政[1] 

机构地区：[1]湖南省儿童医院麻醉手术科,长沙市410007

出　　处：《中华麻醉学杂志》2017年第10期1254-1256,共3页Chinese Journal of Anesthesiology

摘　　要：本院2014年10月至2015年6月门诊MRI室和特检科需要镇静进行检查的5800例患儿中,门诊镇静相关不良事件发生率为2.72%（158例）,死亡率为0.03%（2例）.常见不良事件为恶心呕吐（构成比为32.14%）、返流误吸（构成比为24.43%）、呼吸抑制（构成比29.28%）、躁动（构成比为15.71%）和苏醒延迟（构成比为1.43%）.镇静药物选择水合氯醛时应予以糖水混合以预防恶心呕吐的发生;年龄小（特别是早产儿）、有呼吸系统和神经系统疾病以及先天性心脏病是患儿发生门诊镇静相关不良事件的可能诱因,应给予干预措施,以降低不良事件发生,提高镇静质量.From October 2014 to June 2015, among 5 800 pediatric patients underwent outpatient sedation in MRI and Special Inspection Departments at our hospital, the incidence of sedation-related ad-verse events was 272%（158 cases）, and the mortality rate was 003%（2 cases）in pediatric outpa-tients. The common adverse events were nausea and vomiting（constituent ratio 3214%）, regurgitation and aspiration（constituent ratio 2443%）, respiratory depression（constituent ratio 2928%）, agitation （constituent ratio 1571%）and delayed recovery（constituent ratio 143%）. When chloral hydrate was used for sedation, it should be mixed with sugar to prevent the occurrence of nausea and vomiting; young age（especially preterm infant）, diseases of respiratory system or nervous system and congenital heart dis-ease were the possible inducements to sedation-related adverse events, and intervention strategy should be performed to decrease the occurrence of adverse events and to improve the quality of sedation in pediatric outpatients.

关 键 词：儿童 清醒镇静 门诊检查 

分 类 号：R726.1[医药卫生—儿科]