右美托咪定联合舒适护理模式对无痛支气管镜检查患儿SPO2、PCO2及生命体征的影响  

Effect of dexmedetomidine combined with comfortable nursing mode on SPO,PCO and vital signs of children undergoing painless bronchoscopy

作　　者：朱艳萍[1] 宋洪江[2] ZHU Yanping;SONG Hongjiang(Endoscopy Center,Anqing Municipal Hospital,Anqing 246003,China;Department of Gastrointestinal Surgery,Affiliated Tumor Hospital of Harbin Medical University,Harbin 150080,China)

机构地区：[1]安庆市立医院内镜中心,安徽安庆246003 [2]哈尔滨医科大学附属肿瘤医院胃肠外科,哈尔滨150080

出　　处：《长春中医药大学学报》2021年第1期198-200,共3页Journal of Changchun University of Chinese Medicine

基　　金：吴阶平医学基金会临床科研专项资助基金(320.6750.13105)。

摘　　要：目的分析右美托咪定联合舒适护理模式对无痛支气管镜检查患儿血氧饱和度(SPO_(2))、二氧化碳分压(PCO2)及生命体征的影响。方法2017年7月-2019年5月我院收治的60例需进行无痛支气管镜检查的患儿随机分为对照组和观察组,各30例。对照组采用利多卡因进行麻醉,观察组在对照组的基础上采用右美托咪定进行麻醉,检查期间2组均采用舒适护理模式护理至检查结束。比较2组不同时间点血氧饱和度(SPO_(2))和生命体征,检查前后镇静程度和检查后2组舒适度和不良反应发生情况。结果T2、T3、T4观察组收缩压、舒张压和HR均呈逐渐降低趋势,并低于对照组(P<0.05);T2、T3、T4观察组SPO_(2)高于对照组(P<0.05);T3、T4,观察组PCO2低于对照组(P<0.05);检查后,观察组安静率显著高于对照组(P<0.05);检查后,2组警觉/镇静评分(OAA/S)评分和Ramsay镇静评分较检查前升高,观察组高于对照组(P<0.05);检查后,观察组不良事件发生率显著低于对照组(P<0.05)。结论右美托咪定联合舒适护理模式能显著改善无痛支气管镜检查过程中患儿生命体征和血气指标,同时有助于检查过程中患儿保持镇静。Objective To analyze the effect of dexmedetomidine combined with comfortable nursing mode on oxyhemoglobin saturation(SPO_(2)),partial pressure of carbon dioxide(PCO2)and vital signs in children undergoing painless bronchoscopy.Methods From July 2017 to May 2019,60 children,who needed painless bronchoscopy in our hospital,were randomly divided into control group and observation group,with 30 cases in each group.The control group was anesthetized with lidocaine,while the observation group with dexmedetomidine.During the examination,both groups were given comfortable nursing mode until its end.SPO_(2) and vital signs were compared between the two groups at different time points.The degree of sedation before and after examination,comfort level and adverse reactions after examination of the two groups were compared as well.Results The systolic blood pressure,diastolic blood pressure and HR,in the observation group at the three time points of T2,T3 and T4,displayed a gradually decreasing trend,significantly lower than those in the control group(P<0.05),while the three SPO_(2) values in the observation group at the time points of T2,T3 and T4 were respectively higher than those in the control group(P<0.05).The PCO2 values in the observation group at T3 and T4 were significantly lower than those in the control group at the same time points(P<0.05).After examination,the quiet rate of the observation group was 76.67%,significantly higher than that of the control group(33.33%)(P<0.05).After examination,alertness/sedation scores(OAA/S)and Ramsay sedation score in the two groups were higher than before examination,while the observation group was significantly higher than the control group(P<0.05).After examination,the incidence of adverse events in the observation group was 6.67%,significantly lower than that in the control group(30.00%)(P<0.05).Conclusion Dexmedetomidine combined with comfortable nursing mode can significantly improve the vital signs and blood-gas indexes of children and help children maintain sedation duri

关 键 词：无痛支气管镜检查 右美托咪定 舒适护理模式 血氧饱和度 二氧化碳分压 生命体征 

分 类 号：R473.5[医药卫生—护理学]