摘要
目的探讨小儿七氟烷吸入镇静对小儿深静脉穿刺的影响作用。方法将我院自2013年8月~2018年11月收治的行深静脉穿刺置管的患儿200例随机分为研究组和对照组各100例,研究组患儿在七氟烷吸入镇静后再行深静脉穿刺置管,对照组患儿在穿刺前0.5h行咪达唑仑0.2mg/kg喷鼻后再穿刺置管,观察两组患儿的情绪评分和穿刺接受程度,记录穿刺前后出现的不良反应。结果研究组患儿与家长分离时镇静情绪评分、静脉穿刺接受程度均明显高于对照组,睫毛反射消失时间、麻醉苏醒时间少于对照组,在麻醉后5、10和20min,研究组患儿的MASS评分均明显优于对照组,研究组患儿吸入刺激、血压异常、窦性心动异常等不良反应均明显少于对照组,组间差异有统计学意义(P<0.05);两组患儿麻醉后30min时MAAS评分和恶心、呕吐等消化道不良反应发生率比较差异无统计学意义(P>0.05)。结论使用七氟烷吸入麻醉可有效的改善行深静脉穿刺置管患儿的镇静效果,减少苏醒时间和不良反应发生率,安全可靠,值得临床推广使用。
Objective To explore the effect of sevoflurane inhalation sedation on permanent needle of deep venipuncture in children. Methods Two hundred children undergoing permanent needle of deep venipuncture who were admitted and treated in our hospital from August 2013 to November 2018 were selected. They were randomly divided into the study group and the control group, with 100 cases in each group. Children in the study group were given permanent needle of deep venipuncture after sevoflurane inhalation sedation. In the control group, 0.2mg/kg midazolam was nasally sprayed in half an hour before puncture, and then the catheter was placed. Emotional scores and puncture acceptability of children in the two groups were observed and adverse reactions occurred before and after the puncture were recorded. Results Sedation scores and venipuncture acceptability of children when separating with their parents in the study group were significantly higher than those in the control group, and disappearance time of eyelash reflex and anesthesia recovery time were less than those of control group. The MASS scores of the children in the study group were significantly better than those in the control group at 5min, 10min and 20min after anesthesia. In the study group, the adverse reactions such as inhalation stimulation, abnormal blood pressure and sinus cardiac abnormality were all significantly less than those in the control group. The difference between the groups was statistically significant(P < 0.05). There was no significant difference in MAAS score and the incidence of gastrointestinal adverse reactions such as nausea and vomiting at 30 minutes after anesthesia between the two groups(P > 0.05). Conclusion Sevoflurane inhalation anesthesia can effectively improve the sedative effect of children undergoing permanent needle of deep venipuncture and reduce recovery time and the incidence of adverse reactions. It is safe and reliable, which is worthy of clinical promotion and application.
作者
魏艳妮
邹敏
WEI Yanni;ZOU Min(Department of Anesthesiology, Kaizhou District People’s Hospital, Chongqing 405400, China)
出处
《中国医药科学》
2019年第18期123-125,160,共4页
China Medicine And Pharmacy
关键词
小儿
深静脉穿刺置管
七氟烷
镇静
Children
Permanent needle of deep venipuncture
Sevoflurane
Sedation
