摘要
目的:分析多模式预防对七氟烷全麻眼科患儿躁动的影响。方法:随机数字表法将天津市眼科医院麻醉科2020年9月-2021年7月120例七氟烷全麻斜视矫正术患儿分为4组,A组口服咪达唑仑(0.5 mg·kg^(-1)),B组加卡通视频,C组术毕静脉注射地佐辛(0.1 mg·kg^(-1)),D组囊括以上所有方法。记录m-YPAS分值、MAP和HR水平、PAED分值、不良反应。结果:入室、麻醉诱导,B组、D组m-YPAS分值低于A组、C组。B组、D组MAP较A组、C组低;拔管、术毕15 min,D组躁动评分最低。D组躁动发生率(3.08%)最低。C组、D组嗜睡发生率为16.67%、23.33%,均高于A组和B组。结论:咪达唑仑+地佐辛+卡通视频能缓解焦虑,预防躁动,但也会增加嗜睡。
Objective:To analyze effect of multi-prevention on agitation of children undergoing Sevoflurane general anesthesia ophthalmic surgery.Methods:120 children receiving strabismus correction under sevoflurane general anesthesia from January 2019 September 2020 to July 2021 were randomly divided into 4 groups.Group A received oral midazolam(0.5mg·kg^(-1)),group B plus cartoon video,group C plus dizocine(0.1mg·kg^(-1)),group D included all three recipes.Anxiety was assessed by m-YPAS,agitation was assessed by PAED,MAP,HR and adverse reactions were recorded.Results:At induction of anesthesia,scores of group B and group D were lower than group A and group C;MAP of group B and D was lower than group A and C.At extubation and 15 minutes after operation,restlessness score was:group D<group C<group B<group A.For incidence of agitation,group D has the lowest score(3.08%)and group A has the highest(20.00%),which was statistically significant(P<0.05).The incidence of drowsiness in group C and D was 16.67%and 23.33%,which were higher than those in group A and GROUP B(P<0.05).Conclusion:Midazolam+dizocine+cartoon video can relieve and prevent agitation and anxiety,but it will also increased incidence of drowsiness.
作者
朱永萍
Zhu Yong-ping(Department of Anesthesiology,Tianjin Eye Hospital,Tianjin 300020,China)
出处
《四川生理科学杂志》
2022年第5期840-842,918,共4页
Sichuan Journal of Physiological Sciences
关键词
躁动
麻醉
多模式预防
儿童眼科
Agitation
Anesthesia
Multi-prevention
Pediatric ophthalmology
