Clinical observation of the preventive effect of tramadol on restlessness during palinesthesia in children
AIM: To evaluate the preventive effect of tramadol on restlessness during palinesthesia in children. METHODS: Forty children undergong selective tonsillectomy and(or) adenoidectomy were included in the study and allocated randomly into tramadol group and control group. Arterial pressure, electrocardiogram, heart rate, peripheral oxygen saturation were monitored continuously during the operation, record the surgery time, anesthesia time, extubation time. At the time of palinesthesia, a blind observer accessed the Comfort score before extubation. RESULTS: There was no significant difference among the surgery time, anesthesia time, extubation time, postoperative hypoxemia, nausea and vomiting in two group. According to Comfort score, the satisfaction rate and the rate of inadequate sedation was significant different between the two group(P ＜ 0.05 or 0.01). According to the restlessness score: The rate of no or mild restlessness and the rate of severe restlessness was significant different between the 2 group(P ＜ 0.05). CONCLUSION: The preventive function of tramadol can make the favorable sedation effect during palinesthesia and decrease the restlessness at the time of extubation in children undergoing tonsillectomy and (or) adenoidectomy surgery, meanwhile, tramadol didn't prolong the extubation time or increase the rate of the postoperative hypoxemia, nausea and vomiting.
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万方数据
维普
