摘要
目的:探讨地佐辛在学龄前儿童全麻下部分睫毛切除术中的应用效果及对苏醒期躁动的影响。方法:选取笔者医院2016年1月-2017年12月收治的110例拟实施全麻术下部分睫毛切除术治疗的倒睫患儿,采用随机数字表法分为研究组(手术结束前10min给予地佐辛0.1mg/kg静滴)和对照组(给予等量生理盐水),每组55例。对比两组拔管前后不同时间点的心率(HR)、平均动脉压(MAP)及术后不同时间点患儿苏醒期躁动评分。结果:研究组HR测定值T1~T2时刻均较T0时刻升高,MAP测定值T1时刻高于T0时刻,且HR、MAP测定值T0~T3时刻均显著低于对照组,差异均有统计学意义(P<0.05)。拔管前、拔管后10min、拔管后30min、拔管后60min,研究组患儿躁动评分均显著低于对照组,差异有统计学意义(P<0.05)。结论:全麻术下部分睫毛切除术治疗学龄前儿童倒睫术中应用地佐辛有利于维持患儿拔管期血流动力学稳定、减轻苏醒期患儿躁动。
Objective To explore the effect of dizocine in partial eyelash resection under pre-school children under general anesthesia and its effect on wakefulness. Methods Selected 110 patients with trichiasis who were treated with partial eyelash resection under general anesthesia from January 2016 to December 2017. The randomized digital table method was divided into the study group(0.1 mg/kg intravenous infusion of dextrozine 10 min before the end of surgery) and the control group(administered with the same amount of normal saline), 55 patients in each group. The heart rate(HR), mean arterial pressure(MAP) at different time points before and after extubation, and the agitation scores of the children at different time points after operation were compared. Results The HR values at T1-T2 were higher than those at T0, and MAP values at T1 were higher than those at T0, HR and MAP values at T0-T3 were signi? cantly lower in the study group than those in the control group, the differences were statistically signi? cant(P<0.05). Before extubation, 10 minutes after extubation, 30 minutes after extubation and 60 minutes after extubation, the scores of restlessness in the study group were significantly lower than those in the control group(P <0.05). Conclusion Partial eyelash resection under general anesthesia for the treatment of preschool children with trichiasis in the treatment of diazepam is bene? cial to maintain hemodynamic stability during the extubation period and reduce the agitation of children in the recovery period.
引文
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