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复合舒芬太尼骶管麻醉对小儿麻醉苏醒期镇静效果的观察 被引量:6

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摘要 目的:探讨复合舒芬太尼骶管麻醉对学龄前儿童麻醉苏醒期情绪、行为干预的效果。方法:选取择期手术患者60例,随机分为芬太尼组(F组)与舒芬太尼组(S组)。各组患儿入室后主麻医生态度和蔼地与患儿交流、鼓励。开放静脉后基础麻醉,顺序咪唑安定0.1mg/kg、得普利麻2mg/kg静脉注射。极不合作需氯胺酮(5mg/kg,肌肉注射)、咪唑安定(0.15mg/kg)基础麻醉的剔出观察。再以0.5%罗哌卡因(1ml/kg)骶管阻滞。F组辅以芬太尼10~20μg/kg静注/混合骶管阻滞;S组辅以舒芬太尼0.25~0.375μg/kg,静脉注射/混合骶管阻滞。两组麻醉维持都用丙泊酚2~4mg/kg,静脉泵控注至手术结束前10分钟停药。结果:麻醉苏醒两组无显著性差异;两组Ramsay镇静评分、躁动评分及恶梦惊醒、情绪化哭闹现象比较差异有显著性。结论:舒芬太尼在学龄前儿童的麻醉中苏醒期有较好的镇静作用,患儿安静配合、体动少。随访恶梦少、情绪化现象少。
出处 《中国社区医师(医学专业)》 2012年第9期162-162,共1页
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