右美托咪定对电子耳蜗植入术患儿全身麻醉苏醒期躁动的影响

被引：5

作者：

王媛

贾英萍

梁郑

机构：

[1] 郑州市儿童医院麻醉科

来源：

中国实用医刊 | 2014年 / 19期

关键词：

右美托嘧啶; 电子耳蜗植入术; 苏醒期躁动;

D O I：

暂无

中图分类号：

R726.1 [小儿外科手术学];

学科分类号：

摘要：

目的观察持续静脉泵注右美托咪定对电子耳蜗植入术惠儿全身麻醉苏醒期躁动的影响。方法将40例行电子耳蜗植入术患儿随机分为D、C两组各20例,D组静脉泵注右美托咪定,C组静脉泵注等量氯化钠注射液,比较两组各时间点的相关指标。结果与C组相比,D组在T1T2时点HR和MAP较低,T3时点明显降低,T3时点SAS镇静-躁动评分明显较低,T4、T6时点Ramsay镇静评分较高,T5时点明显较高,差异均有统计学意义（P<0.05或P<0.01）。结论持续静脉泵注0.5μg/（kg·h）右美托咪定可减少人工电子耳蜗植入术惠儿全身麻醉苏醒期躁动,且循环功能稳定,术后并发症较少。

引用

共 16 条

[1]

The Role of the α2-Adrenoceptor Agonist Dexmedetomidine in Postsurgical Sedation in the Intensive Care Unit. Eike Martin,Graham Ramsay,Jean Mantz,S. T. John Sum-Ping. Journal of Intensive Care Medicine . 2003

[2] 不同药物预防七氟醚术后躁动的研究 [J].

裴春明 ;

李天佐 .

临床麻醉学杂志, 2012, 28 (01) :17-18

[3] 七氟醚全凭吸入麻醉在婴儿唇裂整复术中的应用 [J].

王新河 ;

邵云 ;

李刚 .

临床麻醉学杂志, 2011, 27 (02) :160-162

[4] A comparative study of dexmedetomidine with midazolam and midazolam alone for sedation during elective awake fiberoptic intubation [J].

Bergese, Sergio D. ;

Bender, Stephen Patrick ;

McSweeney, Thomas D. ;

Fernandez, Soledad ;

Dzwonczyk, Roger ;

Do, Kevin Sage .

JOURNAL OF CLINICAL ANESTHESIA, 2010, 22 (01) :35-40

[5] Dexmedetomidine and meperidine prevent postanaesthetic shivering [J].

Bicer, C ;

Esmaoglu, A ;

Akin, A ;

Boyaci, A .

EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2006, 23 (02) :149-153

[6]

[Predisposing factors and prevention of emergence agitation]. Mizuno Ju,Nakata Yoshinori,Morita Shigeho,Arita Hideko,Hanaoka Kazuo. Masui. The Japanese journal of anesthesiology . 2011

[7]

静脉注射右美托咪啶辅助全身麻醉的有效性和安全性[J]. 吴新民,许幸,王俊科,王鲲鹏,薛张纲,缪长虹,邓小明,艾登斌,于浩. 华麻醉学杂志. 2007 (09)

[8]

Comparison of the ac-tivity and reliability of intravenous administration of midazolam and dexmedetomidine on sedation levels under epidural. Kuzucuo GT,Bolukbasloglu I,Arslan G. Anesthesia and Analgesia . 2010

[9]

A balanced anesthesia with dexmedetomidine decreases postoperative nausea and vomiting after laparoscopic surgery. Massad Islam M,Mohsen Wafa A,Basha Asma S,Al-Zaben Khaled R,Al-Mustafa Mahmoud M,Alghanem Subhi M. Saudi Medical Journal . 2009

[10] Effects of the α2-adrenoceptor agonist dexmedetomidine on bronchoconstriction in dogs [J].

Groeben, H ;

Mitzner, W ;

Brown, RH .

ANESTHESIOLOGY, 2004, 100 (02) :359-363

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