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瑞马唑仑与丙泊酚应用于儿童影像学检查时镇静效果比较

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目的 比较儿童影像学检查应用瑞马唑仑与丙泊酚的镇静效果.方法 选取2023年2月—2024年2月于泰安市妇幼保健院接受影像学检查的儿童120例为研究对象,通过随机数字表法分为观察组和对照组,每组60例.其中观察组使用瑞马唑仑0.3 mg/kg麻醉,对照组影像学检查使用丙泊酚2 mg/kg麻醉.对比2组麻醉效果,麻醉前(T1)、麻醉后5 min(T2)、麻醉后10 min(T3)、检查结束后10 min(T4)、检查结束后20 min(T5)的平均动脉压(mean arterial pressure,MAP)、心率(heart rate,HR)、血氧饱和度(SpO2)水平以及脑电双频指数(bispectral index,BIS)值和不良反应发生情况.结果 与对照组比较,观察组麻醉起效时间长,苏醒时间短,差异有统计学意义(P<0.05);T2~T4时,观察组MAP、HR、SpO2及BIS值均高于对照组,差异均有统计学意义(P均<0.05);2组T1与T5时MAP、HR、SpO2和BIS值比较,差异均无统计学意义(P均>0.05);2组间术中体动、苏醒后头晕、恶心呕吐等不良反应发生率比较,差异均无统计学意义(P均>0.05).结论 与丙泊酚比较,应用瑞马唑仑镇静效果好且苏醒迅速,对儿童循环、呼吸影响小,麻醉持续时间短.
Comparison of the sedative effect of remazolam and propofol in the imaging examination of children
Objective:To compare the sedative effects of remazolam and propofol in children with CT,MRI,etc.Methods:A total of 120 children who received imaging examination in Taian Maternal and Child Health Hospital from February 2023 to February 2024 were selected as research objects and were divided into observation group and control group by digital random method,with 60 cases in each group.The observation group was anesthetized with remazolam 0.3mg/kg,while the control group was anesthetized with propofol 2 mg/kg.Comparing the anesthetic effects of the two groups,average arterial pressure(MAP),heart rate(HR),blood oxygen saturation(SpO2),BIS value and the occurrence of adverse reactions were measured before anesthesia(T1),5min after anesthesia(T2),10min after anesthesia(T3),10min after examination(T4)and 20 min after examination(T5).Results:Compared with the control group,the effect time of anesthesia in the observation group was longer and the recovery time was shorter(P<0.05).At T2~T4,the values of MAP,HR,SpO2 and BIS in observation group were significantly higher than those in control group(P<0.05).There were no significant differences in MAP,HR,SpO2 and BIS values between the observation group and the control group at T1 and T5(P>0.05).There was no significant difference in the incidence of intraoperative body movement,dizziness,nausea and vomiting after recovery between the two groups(P>0.05).Conclusion:Compared with propofol,remazolam has better sedative effect and rapid recovery,less influence on circulation and respiration,and shorter duration of anesthesia.

children's imaging examinationoutpatient sedationremazolampropofol

付韩菡

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泰安市妇幼保健院麻醉科,山东 泰安 271000

儿童影像学检查 门诊镇静 瑞马唑仑 丙泊酚

2024

山东第一医科大学(山东省医学科学院)学报
泰山医学院

山东第一医科大学(山东省医学科学院)学报

影响因子:0.6
ISSN:2097-0005
年,卷(期):2024.45(11)