小儿室间隔缺损封堵术前应用右美托咪定滴鼻的镇静作用及对术后躁动的效果观察  

The sedative effect of dexmedetomidine nasal drop before occlusion of ventricular septal defect and the effect of postoperative agitation

作　　者：刘珅玲 黄磊[1] Liu Shenling;Huang Lei(Calm and Pain Relief Center,Kunming Children's Hospital,Kunming,Yunnan,650000,China)

机构地区：[1]昆明市儿童医院镇静镇痛中心

出　　处：《当代医学》2019年第33期40-42,共3页Contemporary Medicine

摘　　要：目的探讨对小儿室间隔缺损封堵术患者选择右美托咪定给予术前滴鼻后获得的镇静效果以及对术后躁动产生的影响。方法选择本院2016年12月至2018年5月收治的102例小儿室间隔缺损封堵术患者作为研究对象,抽签法分组后明确各组术前镇静方法。对照组51例,采用咪达唑仑药物进行干预;观察组51例,选择右美托咪定进行干预。对比两组干预效果。结果在T0、T1时期,两组OAA/S评分比较差异无统计学意义;在T2、T3时期,观察组OAA/S评分均明显低于对照组(P<0.05);观察组穿刺接受度评分以及镇静情绪评分均明显高于对照组(P<0.05);术后不同时间点,观察组躁动评分均明显低于对照组(P<0.05)。结论小儿室间隔缺损封堵术患者在术前接受麻醉干预期间,右美托咪定滴鼻方法的有效应用,对患儿镇静效果的提升以及术后躁动的改善效果显著,最终为小儿室间隔缺损封堵术患者的手术成功奠定基础。Objective To investigate the sedative effect of dexmedetomidine in patients with ventricular septal defect occlusion after preoperative nasal drop and its effect on postoperative agitation. Methods A total of 102 patients with ventricular septal defect occlusion were enrolled in our hospital from December 2016 to May 2018. The sedation method was used to determine the preoperative sedation method in each group. The control group(n=51): selection intervention with midazolam, observation group(n=51): dexmedetomidine was selected for intervention. The effect of intervention was compared. Results In the T0 and T1 periods, the difference in OAA/S scores between the two groups was not significant;In the T2 and T3 periods, the OAA/S scores of the observation group were significantly lower than those of the control group(P<0.05);The scores of puncture acceptance and sedation were higher than those of the control group(P<0.05). The postoperative scores of the observation group were significantly lower than those of the control group at different time points(P<0.05). Conclusion The effective application of dexmedetomidine nasal drop during pediatric ventricular septal occlusion surgery during the anesthesia intervention before surgery is effective for the improvement of sedative effect and postoperative agitation in children. The success of surgery in patients with ventricular septal defect closure lays the foundation.

关 键 词：小儿室间隔缺损封堵术 右美托咪定滴鼻 镇静 术后躁动 

分 类 号：R47[医药卫生—护理学]