摘要
Abstract
Objective To comparatively analyze the effects of dexmedetomidine combined with surface an-esthesia and remifentanil combined with surface anesthesia in bronchial foreign body removal surgery in chil-dren .Methods A total of 84 children with bronchial foreign body in who received therapy from February 2015 to December 2016 .Those patients were divided into the control group and the observation group according to different treatment methods .A total of 84 children with bronchial foreign body treated in the hospital from February 2015 to December 2016 were divided into the observation group and the control group according to the anesthesia methods .The control group was treated with remifentanil combined with surface anesthesia , and the observation group was treated with dexmedetomidine combined with surface anaesthesia ,and the chan-ges of mean arterial pressure (MAP) ,heart rate (HR) ,blood oxygen saturation (SPO2 ) and adverse reactions in two groups at different time points were observed .Results The number of children with hypoxemia and re-spiratory depression was significantly lower than that of the control group ,and the difference was statistically significant (P<0 .05) .During the operation ,the number of children with hypoxemia and respiratory depres-sion in the observation group was significantly lower than that in the control group ,and the difference was sta-tistically significant (P<0 .05) .20 min after extubation ,the values of MAP and HR in the observation group were significantly lower than those in the control group and the difference was statistically significant ( P<0 .05) .5 min after the bronchoscopy ,the SPO2 level of the observation group was significantly higher than that of the control group ,and the difference was statistically significant (P<0 .05) .After the operation ,the waking time of the children in the observation group was significantly shorter than that in the control group ,and the difference was statistically significant (P<0 .05) .Conclusion Dexmedetomidine combined with surface anes-thesia is more suitable for clinical pediatric bronchial foreign body removal surgery in comparison with remifentanil combined with surface anesthesia which provides an alternative way of anesthesia for clinical pedi-atric bronchial foreign body removal .关键词
右美托咪定/表面麻醉/瑞芬太尼/小儿支气管异物Key words
dexmedetomidine/surface anesthesia/remifentanil/bronchial foreign body in children分类
医药卫生
