右美托咪定与咪达唑仑在小儿手术麻醉中的应用效果比较
Comparison of application effect between Dexmedetomidine and Midazolam in pediatric surgical anesthesia
孙玉玲1
作者信息
- 1. 青岛市城阳区第三人民医院麻醉科,山东青岛 266107
- 折叠
摘要
目的 比较右美托咪定与咪达唑仑在小儿手术麻醉中的应用效果.方法 选取 2020 年 2 月至2023 年 8 月青岛市城阳区第三人民医院麻醉科收治的 90 例手术麻醉患儿作为研究对象,按照随机数字表法将其分为对照组(45 例)与研究组(45 例).对照组采用咪达唑仑麻醉,研究组采用右美托咪定麻醉,比较两组心率、呼吸频率、血氧饱和度、入睡时间、术后躁动率、不良反应总发生率.结果 两组心率、呼吸频率及血氧饱和度比较,差异无统计学意义(P>0.05);研究组入睡时间短于对照组(P<0.05);研究组术后躁动率、不良反应总发生率低于对照组(P<0.05).结论 相较于咪达唑仑,右美托咪定用于小儿手术麻醉能够降低术后躁动率、不良反应发生率,值得推广.
Abstract
Objective To compare the application effect between Dexmedetomidine and Midazolam in pediatric surgical anesthesia.Methods A total of 90 children who underwent surgical anesthesia in Department of Anesthesiology,the Third People's Hospital of Chengyang District,Qingdao from February 2020 to August 2023 were selected and divided into control group(45 cases)and study group(45 cases)according to the random number table method.The control group was anesthetized by Midazolam,and the study group was anesthetized by Dexmedetomidine.The heart rate,respiration rate,oxyhemoglobin saturation,time of falling asleep,postoperative agitation rate and total incidence of adverse reactions were compared between the two groups.Results There were no significant differences in heart rate,respiratory rate and oxyhemoglobin saturation between the two groups(P>0.05).The time of falling asleep in the study group was shorter than that in the control group(P<0.05).The postoperative agitation rate and the total incidence of adverse reactions in the study group were lower than those in the control group(P<0.05).Conclusion Compared with Midazolam,Dexmedetomidine can reduce the rate of postoperative agitation and the incidence of adverse reactions in pediatric surgical anesthesia,which is worth popularizing.
关键词
右美托咪定/咪达唑仑/小儿手术麻醉/术后躁动/不良反应Key words
Dexmedetomidine/Midazolam/Pediatric surgical anesthesia/Postoperative agitation/Adverse reaction引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据