Effect of Esketamine on Emergence Agitation and Pain in Children with Adenoid Hypertrophy Treated with Low Temperature Plasma Surgery
Objective To analyze the effect of esketamine on children with adenoid hypertrophy treated with low temperature plasma surgery.Methods A total of 82 children with adenoid hypertrophy treated by low temperature plasma surgery in Wuxi Children's Hospital from September 2021 to September 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The observation group was anesthetized with esketamine,and the control group was anesthetized with fentanyl.The hemodynamics,operation conditions,pain d egree,occurrence of emergence agitation and adverse reactions were compared between the two groups.Results At T1 and T2,the heart rate and mean arterial pressure of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05);the extubation time and the stay time in the treatment room after anesthesia in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).Pain behavior scale scores in observation group were lower than those in control group 15 min and 30 min after surgery,and the difference was statistically significant(P<0.05).The incidence of emergence agitation in the observation group was 4.88%,which was lower than 21.95%in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions between the two groups was compared,and the difference was no statistically significant(P>0.05).Conclusion The application of esketamine in children with adenoid hypertrophy treated with low temperature plasma surgery can maintain stable hemodynamic indicators,reduces the risk of emergence agitation,alleviates postoperative pain,and it has high safety.
Adenoid hypertrophyLow temperature plasma surgeryEsketamineAdverse reaction
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