Ramsay评分联合δ脑电波在先心婴幼儿水合氯醛镇静效果评价中的应用价值  

To Evaluate the Sedative Effect of Chloral Hydrate in Infants with Congenital Heart Disease by Ramsay Score Combined withδEEG

作　　者：崔素娟 张小贞 郑惠灵 王璐 丁小勇 刘高峰 CUI Sujuan;ZHANG Xiaozhen;ZHENG Huiling;WANG Lu;DING Xiaoyong;LIU Gaofeng(Department of Cardiothoracic Surgery,the 988th Hospital of PLA Joint Logistics Support,Zhengzhou Henan 450042,China)

机构地区：[1]联勤保障部队第九八八医院心胸外科,河南郑州450042

出　　处：《临床研究》2023年第10期148-150,共3页Clinical Research

基　　金：Ramsay评分联合δ脑电波在先心婴幼儿水合氯醛镇静效果评价中的应用价值(LHGJ20210817)。

摘　　要：目的探讨Ramsay评分联合δ脑电波用于先心婴幼儿水合氯醛镇静中的效果。方法选择2022年9月至2023年8月先天性心脏病婴幼儿130例为对象,采用30 mg/kg水合氯醛进行灌肠,并佩戴便携式脑电监测仪监测,对所有患儿均于6个不同监测点评估Ramsay评分值,并完成δ脑电波监测,以最终镇静效果作为“金标准”,绘制ROC曲线,分析Ramsay评分联合δ脑电波在先心婴幼儿水合氯醛镇静效能。结果先心婴幼儿水合氯醛镇静良好115例,良好率为88.46%,Ramsay评分下镇静良好102例,与金标准符合率为77.69%(101/130);δ脑电波评估下镇静良好109例,与金标准符合率为78.46%(102/130);Ramsay评分联合δ脑电波评估下镇静效果良好112例,与金标准符合率为90.00%(117/130);ROC曲线结果表明:Ramsay评分联合δ脑电波在先心婴幼儿水合氯醛镇静灵敏度与特异度高于Ramsay评分、δ脑电波单一评估(P<0.05)。结论Ramsay评分、δ脑电波两种方法均可以对先心婴幼儿水合氯醛镇静效果较好的判断,但是二者联合能获得较高的效能,能提高镇静有效率,保证患儿顺利完成检查,指导临床用药,便于护理工作的开展,值得应用。Objective To evaluate the sedative effect of chloral hydrate in infants with congenital heart disease by Ramsay score combined withδEEG.Methods From September 2022 to August 2023,a total of 130 infants with congenital heart disease were selected as the subjects,and were treated with 30 mg/kg chloral hydrate for enema,and were monitored by portable computer monitor.Ramsay scores of all children were evaluated at 6 different monitoring points,andδEEG monitoring was completed,the fifinal sedative effect was used as the"gold standard",the receiver operating characteristic(ROC)curve was drawn to analyze the sedative effificacy of chloral hydrate in infants with congenital heart disease by Ramsay score combined withδEEG.Results A total of 115 infants with congenital heart disease were well seaged by chloral hydrate,with a good rate of 88.46%,and 102 infants were well seaged by Ramsay score,with a coincidence rate of 77.69%(101/130)with the gold standard,and 109 cases were well seaged byδEEG evaluation,and the coincidence rate with the gold standard was 78.46%(102/130);112 patients had good sedation effect under Ramsay score combined withδEEG evaluation,and the coincidence rate with the gold standard was 90.00%(117/130).The Results of ROC curve showed that the sensitivity and specificity of Ramsay score combined withδEEG in sedation of chloral hydrate were higher than those of Ramsay score orδEEG alone(P<0.05).Conclusion Ramsay score andδEEG can both judge the sedation effect of chloral hydrate in infants with congenital heart disease,but the combination of the two can obtain higher effificacy,improve the sedation effificiency,ensure the successful completion of the examination,guide clinical medication,and facilitate the development of nursing work,which is worthy of promotion and application.

关 键 词：RAMSAY评分 δ脑电波 先心婴幼儿 水合氯醛 镇静效果 

分 类 号：R614[医药卫生—麻醉学]