小儿疝囊高位结扎术应用右美托咪定及咪达唑仑静脉吸入复合麻醉效果及对苏醒期躁动的影响  

Effects of Dexmedetomidine and Midazolam Intravenous Inhalation Anesthesia Combined Anesthesia in High Ligation of Hernia Sac in Children and Their Effects on Waking Agitation

作　　者：雷鸿华 赵立明 钟群飞 雷颖 姚瑶 LEI Honghua;ZHAO Liming;ZHONG Qunfei;LEI Ying;YAO Yao(Department of Anesthesiology,Shaoguan Maternal and Child Health Hospital,Shaoguan,Guangdong Province,512029 China)

机构地区：[1]韶关市妇幼保健院麻醉科,广东韶关512029

出　　处：《中外医疗》2023年第4期173-176,共4页China & Foreign Medical Treatment

基　　金：韶关市卫生健康科研项目(Y21102)。

摘　　要：目的探讨小儿疝囊高位结扎术应用右美托咪定及咪达唑仑静脉吸入复合麻醉的效果及对苏醒期躁动的影响。方法选取2020年1月—2021年12月韶关市妇幼保健院收治的80例小儿腹腔镜下疝囊高位结扎术患儿作为研究对象,采用随机数表法将其分为对照组和观察组,各40例。对照组接受咪达唑仑静脉吸入复合麻醉,观察组接受右美托咪定静脉吸入复合麻醉,比较两组患儿血流动力学指标、麻醉/手术/苏醒时间、苏醒期躁动发生率等。结果两组患儿麻醉诱导前、诱导后3 min的血压、心率、SpO2指标对比,差异无统计学意义(P>0.05);两组苏醒、手术、麻醉时间对比,差异无统计学意义(P>0.05);拔管后10、20 min,观察组躁动发生率分别为5.00%、5.00%,低于对照组的25.00%、27.50%,差异有统计学意义(χ^(2)=6.274、7.439,P<0.05)。结论临床在实施小儿腹腔镜下疝囊高位结扎术时,可采用右美托咪定,能在保持机体血流动力学稳定和确保麻醉效果的状况下,降低苏醒期躁动率。Objective To investigate the effect of dexmedetomidine and midazolam combined with intravenous anesthesia in high ligation of hernia sac in children and the effect on agitation during recovery.Methods 80 children with laparoscopic high ligation of hernia sac treated in Shaoguan Maternal and Child Health Hospital from January 2020 to December 2021 were selected as the research objects,and were divided into control group and observation groupby random number table method,40 cases each.The control group received midazolam intravenous inhalation combined anesthesia,and the observation group received dexmedetomidine intravenous inhalation combined anesthesia.The hemodynamic indexes,anesthesia/operation/recovery time and incidence of agitation during recovery were compared between the two groups.Results There were no statistically significant differences in blood pressure,heart rate and SpO2 before anesthesia induction and 3 min after induction between the two groups of children(P>0.05).There were no statistically significant differences in the recovery,operation and anesthesia time between the two groups(P>0.05).10 and 20 min after extubation,the incidence of agitation in the observation group was 5.00% and 5.00%,lower than that in the control group(25.00% and 27.50%),the difference was statistically significant(χ^(2)=6.274,7.439,P<0.05).Conclusion Clinically,dexmedetomidine can be used in the implementation of laparoscopic high ligation of the hernia sac in children,which can reduce the agitation rate during the recovery period while maintaining the hemodynamic stability of the body and ensuring the anesthetic effect.

关 键 词：小儿 疝囊高位结扎术 右美托咪定 咪达唑仑 麻醉 苏醒期躁动 

分 类 号：R726[医药卫生—儿科]