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右旋美托咪定不同给药方式对小儿七氟醚麻醉后苏醒期躁动的影响

窦红昆 陈春燕 曾焱 李超

中国临床医学2016,Vol.23Issue(1):71-73,3.
中国临床医学2016,Vol.23Issue(1):71-73,3.

右旋美托咪定不同给药方式对小儿七氟醚麻醉后苏醒期躁动的影响

Effect of Dexmedetomidine through Different Administration Routes on Emergence Agitation after Sevoflurane ;Anesthesia in Children

窦红昆 1陈春燕 1曾焱 1李超1

作者信息

  • 1. 云南省昆明市儿童医院麻醉科,云南昆明 650034
  • 折叠

摘要

Abstract

Objective:To explore the effect of dexmedetomidine through different administration routes on emergence agitation after sevoflurane anesthesia in children .Methods:A total of 90 children aged from 2 years to 7 years ,who received scheduled cleft palate repair in Children’s Hospital of Kunming during Jan .2014 and Nov .2014 and were classified asⅠ by American Society of Anesthesiologists (ASA) criteria ,were selected and divided into 3 groups according to random number table with 30 in each group .Single loading dose of dexmedetomidine 1 μg/kg (10 min ) was intravenously injected in group D1 . And dexmedetomidine 1 μg/(kg · h) was intravenously pumped in group D2 till the operation was finished .In group C ,0 .9%normal saline was intravenously pumped with the same volume as that of dexmedetomidine in group D 2 .The sedation‐agitation scale scores as well as the incidence rates of agitation were compared among the three groups .Results:Compared with that in group C ,the sedation‐agitation scale scores and incidence rates of agitation in group D 1 and group D2 decreased (P<0 .05) .And there was no statistical difference regarding the sedation‐agitation scale score and incidence rate of agitation between group D 1 and group D2 .Conclusions :By both intravenous infusion with single loading dose and continuous intravenous pumping , dexmedetomidine can effectively reduce the incidence of emergence agitation after sevoflurane anesthesia in children .And both have a similar effect .

关键词

右旋美托咪定/苏醒期躁动/小儿/七氟醚

Key words

Dexmedetomidine/Emergence agitation/Children/Sevoflurane

分类

医药卫生

引用本文复制引用

窦红昆,陈春燕,曾焱,李超..右旋美托咪定不同给药方式对小儿七氟醚麻醉后苏醒期躁动的影响[J].中国临床医学,2016,23(1):71-73,3.

中国临床医学

OACSTPCD

1008-6358

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