右美托咪定鼻喷辅助父母陪伴全身麻醉诱导对患儿生命体征及围手术期并发症的影响  

Effect of dexmedetomidine nasal spray assisted parent-present induction of anesthesia on vital signs and perioperative complications of children

作　　者：朱雅斌[1] 窦红梅[1] 朱翔[2] 姜琳[1] 孙灿林[1] 洪花[1] 曹秀红[1] 刘静[1] ZHU Yabin;DOU Hongmei;ZHU Xiang;JIANG Lin;SUN Canlin;HONG Hua;CAO Xiuhong;LIU Jing(Department of Anesthesiology,Taizhou People's Hospital,Taizhou,Jiangsu,225300,China;Department of Anesthesiology,Affiliated Hospital of Nantong University,Nantong,Jiangsu,226001,China)

机构地区：[1]泰州市人民医院麻醉科,江苏泰州225300 [2]南通大学附属医院麻醉科,江苏南通226001

出　　处：《当代医学》2022年第24期87-89,共3页Contemporary Medicine

摘　　要：目的探讨右美托咪定鼻喷辅助父母陪伴全身麻醉诱导(PPIA)对患儿生命体征及围手术期并发症的影响。方法选取2019年6月至2020年5月于本院拟行扁桃体切除术的90例患儿作为研究对象,按照随机数字表法分为DP组、P组、与I组,每组30例。DP组给予右美托咪定鼻喷辅助PPIA,P组行父母陪伴全身麻醉诱导,I组行常规七氟醚吸入全身麻醉诱导,比较麻醉诱导期合作量表(ICC)评分、儿童麻醉苏醒期躁动评分(PAED)、喉痉挛发生情况、低氧血症发生情况。结果DP组和P组ICC评分、PAED评分均低于I组,且DP组低于P组,差异有统计学意义(P<0.05);3组喉痉挛发生率、低氧血症发生率比较差异无统计学意义。结论右美托咪定鼻喷辅助父母陪伴全身麻醉患儿围手术期生命体征更加平稳,麻醉诱导期依从性更高,苏醒期躁动发生率更低,值得临床推广应用。Objective To investigate the effect of dexmedetomidine nasal spray assisted parent-present induction of anesthesia(PPIA)on vital signs and perioperative complications of children.Methods 90 children who were scheduled to undergo tonsillectomy in our hospital from June 2019 to May 2020 were selected as the research subjects,and they were divided into DP group,P group and I group according to the random number table method,with 30 cases in each group.DP group was given dexmedetomidine nasal spray to assist PPIA,P group received general anesthesia induction accompanied by parents,and I group received conventional sevoflurane inhalation general anesthesia induction,the score of induction compliance checklist(ICC),the score of pediatric anesthesia emergence delirium scale(PAED),the occurrence of laryngospasm and the occurrence of hypoxemia.Results The ICC score and PAED score of the DP group and the P group were lower than those of the I group,and the DP group was lower than the P group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of laryngospasm and hypoxemia among the three groups.Conclusion Dexmedetomidine nasal spray assisted PPIA makes perioperative vital signs more stable of children,higher compliance during anesthesia induction,and lower incidence of agitation during recovery,which is worthy of clinical application.

关 键 词：右美托咪定 鼻喷 父母陪伴麻醉诱导 全身麻醉 麻醉诱导 苏醒期躁动 低氧血症 

分 类 号：R614[医药卫生—麻醉学]