右美托咪定辅助麻醉在患儿短小手术中的应用  

Application of Dexmedetomidine Assisted Anesthesia in Short Operation of Children

作　　者：胡欢 袁琼[1] HU Huan;YUAN Qiong(School of Medicine,Wuhan University of Science and Technology,Wuhan 430081,China;不详)

机构地区：[1]武汉科技大学医学院,湖北武汉430081 [2]鄂东医疗集团市妇幼保健院

出　　处：《中外医学研究》2022年第14期118-120,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨右美托咪定辅助麻醉在患儿短小手术中的应用。方法:回顾性分析2020年1月-2021年1月鄂东医疗集团市妇幼保健院收治的104例进行短小手术的患儿的临床资料。根据麻醉方式不同将其分为对照组和观察组,各52例。对照组给予全身麻醉,观察组给予右美托咪定辅助全身麻醉。比较两组术后1、6、12、24 h的镇痛及镇静情况,术前、拔管后1、6、12、24 h压痛阈及不良反应。结果:术后6、12、24 h,观察组VAS评分均低于对照组(P<0.05)。观察组术后12、24 h Ramsay评分均高于对照组(P<0.05)。观察组拔管后6、12、24 h压痛阈均高于对照组(P<0.05)。观察组不良反应发生率明显低于对照组(P<0.05)。结论:右美托咪定辅助麻醉,可提高患儿术后镇痛镇静效果,减少术后不良反应发生,有效改善患儿麻醉后痛觉过敏。Objective:To investigate the application of Dexmedetomidine assisted epidural anesthesia in short operation of children.Method:From January 2020 to January 2021,a total of 104 children who underwent short operation admitted to Edong Healthcare Huangshi Maternity and Children’s Health Hospital were selected as the research object.According to different anesthesia methods,they were divided into control group and observation group,52 cases in each group.The control group was given general anesthesia,and the observation group was given Dexmedetomidine assisted general anesthesia.The analgesia and sedation 1,6,12,24 h after surgery,tenderness threshold before surgery and 1,6,12,24 h after extubation and adverse reactions were compared between the two groups.Result:The facial VAS score of observation group were lower than those of control group at 6,12 and 24 h after surgery(P<0.05).Ramsay score of observation group were higher than those of control group at 12 and 24 h after surgery(P<0.05).The tenderness threshold of observation group were higher than those of control group at 6,12 and 24 h after extubation(P<0.05).The incidence of adverse reactions in observation group was significantly lower than that in control group(P<0.05).Conclusion:Dexmedetomidine assisted anesthesia can improve the effect of postoperative analgesia and sedation,reduce the incidence of postoperative adverse reactions,and effectively improve hyperalgesia after anesthesia in children.

关 键 词：右美托咪定 全身麻醉 儿童 镇静效果 痛觉过敏 

分 类 号：R726.1[医药卫生—儿科]