摘要
目的观察右美托咪定与氯胺酮口服与肌内注射氯胺酮在小儿麻醉应用与术后精神状况。方法 100例患儿被随机分成两组,研究组术前口服右美托咪定与氯胺酮麻醉,对照组肌内注射氯胺酮麻醉。记录给药过程患儿的接受程度、苏醒时间(呼之睁眼),使用Funk神经行为评分法评估患儿与父母分离、静脉穿刺时、患儿苏醒后30min内的行为变化及不良反应。结果给药合作情况、患儿术后苏醒时间、不良反应发生率研究组均优于对照组(P<0.05)。结论术前30min口服右美托咪定、氯胺酮用于小儿基础麻醉更易被患儿及家长接受,减少术后患儿苏醒期不良精神症状发生。
Objective To observe the effect of dexmedetomidine and ketamine oral and intramuscular injection of ketamine in pediatric anesthesia and postoperative mental state. Methods 100 children were ran- domly divided into two groups, group study by preoperative administration of dexmedetomidine and ketamine an- esthesia, the control group by intramuscular injection of ketamine anesthesia. The administration process with acceptance, recovery time （called the goggle）, the use of Funk behavioral neurological assessment method of children separated from their parents, venous puncture in children with 30 rain, wake the behavior changes and adverse reactions. Results The process with acceptance, children with postoperative recovery time, adverse reaction rate in the study group was better than the control group（ P 〈 0.05 ）. Conclusion Oraling dexmedeto- midine, ketamine for pediatric anesthesia is more easily by children and parents to accept and reduce postopera- tive adverse psychiatric symptoms occur in recovery period.
出处
《中国实用医药》
2012年第28期43-44,共2页
China Practical Medicine
关键词
右美托咪定
氯胺酮
口服
小儿麻醉
精神状况
Dexmedetomidine
Ketamine
Oral
Pediatric anesthesia
Mental state
