摘要
目的分析饮水试验在儿童七氟烷吸入麻醉下MRI检查后的应用效果,为临床提供参考依据。方法选取2018年5月至2020年5月昆明市儿童医院收治的七氟烷吸入麻醉下MRI检查患儿232例,按照随机数字表法分为A组与B组,每组116例。两组患儿均于七氟烷吸入麻醉下行MRI检查。A组MRI检查后不予以干预,B组MRI检查后行饮水试验,比较两组麻醉苏醒情况(麻醉苏醒时间、麻醉恢复室停留时间),苏醒期躁动情况[苏醒期躁动评分量表(PAED)评分、麻醉苏醒期躁动评分系统(Watcha)评分],进食情况(进食时间、进食量)以及并发症发生情况(脱水、低血糖、误吸、呛咳、低氧血症、躁动)。结果B组麻醉苏醒时间、麻醉恢复室停留时间短于A组,差异有统计学意义(P<0.05)。B组PAED评分、Watcha评分高于A组,差异有统计学意义(P<0.05)。B组进食时间短于A组,差异有统计学意义(P<0.05);两组进食量比较,差异无统计学意义(P>0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论儿童七氟烷吸入麻醉下MRI检查后进行饮水试验评估吞咽反射情况,有助于缩短麻醉苏醒时间,改善患儿的进食情况,对提高麻醉苏醒质量具有显著意义,值得临床推广。
Objective To analyze the application effect of drinking water test after MRI examination under Sevoflurane inhalation anesthesia in children,so as to provide reference for clinical practice.Methods From May 2018 to May 2020,232 children with MRI examination under Sevoflurane inhalation anesthesia in Kunming Children’s Hospital were selected and they were divided into group A and group B according to the random number table method,with 116 cases in each group.MRI examination was performed under Sevoflurane inhalation anesthesia in both groups.Group A was given no intervention after MRI examination,while group B was given drinking water test after MRI examination.The anesthesia recovery(anesthesia recovery time,anesthesia recovery room stay time),agitation during recovery(pediatric anesthesia emergence delirium[PAED],agitation rating system during anesthesia recovery[Watchha]),eating(eating time,eating quantity)and complications(dehydration,hypoglycemia,aspiration,cough,hypoxemia,agitation)of two groups were compared.Results The anesthesia recovery time and anesthesia recovery room stay time of group B were shorter than those of group A,and the differences were statistically significant(P<0.05).The PAED score and Watcha score of group B were higher than those of group A,and the differences were statistically significant(P<0.05).The eating time of group B was shorter than that of group A,and the difference was statistically significant(P<0.05);there was no significant difference in eating quantity between two groups(P>0.05).There was no significant difference in the total incidence of complications between two groups(P>0.05).Conclusion Drinking water test to evaluate swallowing reflex after MRI examination under Sevoflurane inhalation anesthesia in children is helpful to shorten the anesthesia recovery time,improve the eating condition of children,and has significant significance to improve the quality of anesthesia recovery,which is worthy of clinical promotion.
作者
李亚军
李霞
丁思韩
蒋忠权
杨燕飞
LI Yajun;LI Xia;DING Sihan;JIANG Zhongquan;YANG Yanfei(Sedative Analgesia Center,Kunming Children’s Hospital,Yunnan Province,Kunming650000,China;the Special Ward,Kunming Children’s Hospital,Yunnan Province,Kunming650000,China)
出处
《中国医药导报》
CAS
2021年第25期107-110,共4页
China Medical Herald
基金
云南省教育厅科学研究基金项目(2018JS243)
云南省昆明市卫生和计划生育委员会医药卫生科技计划项目(2018-14-04-006)。
关键词
饮水试验
儿童
七氟烷吸入麻醉
MRI检查
麻醉苏醒
早期进食
并发症
Drinking water test
Children
Sevoflurane inhalation anesthesia
MRI examination
Anesthesia recovery
Early eating
Complication
