摘要
目的 分析右美托咪啶与丙泊酚辅助小儿骶管阻滞麻醉的镇静效果。方法 选取2021年1月-2022年12月本院收治的择期施行下腹部及以下部位手术的60例患儿作为研究对象,随机分组,患儿均采取骶管阻滞麻醉,均在麻醉前采用镇静药物辅助,其中采取右美托咪啶辅助镇静的患儿纳入D组,实施丙泊酚辅助镇静患儿纳入Q组。进行麻醉、镇静效果评估。结果 D组T1、T2点心率、呼吸频率、均较T0点及Q组低,平均动脉压、较T0点及Q组高(P<0.05);D组术后苏醒时间较Q组短,术24h内疼痛评分低于Q组(t=9.181、2.970、4.043、6.949,P=0.000、0.004、0.044、0.000),D组苏醒后躁动发生率较Q组低(χ^(2)=9.932,P=0.002);D组患儿离开复苏室时间较Q组早(t=6.949,P=0.000);D组术后并发症发生率较Q组低(χ^(2)=9.932,P=0.002);D组患儿家属满意率高于Q组(χ^(2)=4.043,P=0.044)。结论 右美托咪定与丙泊酚辅助小儿骶管阻滞麻醉的过程中,右美托咪啶辅助更能够维持术中生命体征稳定,可缩短术后恢复时间,确保术后安全,提高患儿舒适度及家属满意度。
Objective To analyze sedative effect of sacral block anesthesia assisted with dexmedetomidine and propofol for children.Methods The paper chose 60 children with elective surgery on lower abdomen and below at the Alar Hospital of the First Division of Xinjiang Construction Corps from January 2021 to December 2022 as study objects,and divided them into two groups randomly.All children was treated with sacral block anesthesia assisted with sedative drugs before anesthesia.Among them,children in group D was treated with sedation assisted with dexmedetomidine and group Q with sedation assisted with propofol.Effect of anesthesia and sedation was evaluated.Results T1 and T2 heart rates,respiratory rate in group D were lower than those at T0 and group Q,and mean arterial pressure was higher than that at T0 and Q(P<0.05).Postoperative recovery time in group D was shorter than group Q,pain scores within 24 hours were lower than group Q(t=9.181,2.970,4.043,6.949,P=0.000,0.004,0.044,0.000).Incidence of restlessness after recovery in group D was lower than group Q(χ^(2)=9.932,P=0.002).Children in group D left resuscitation room earlier than group Q(t=6.949,P=0.000).Incidence of postoperative complications in group D was lower than group Q(χ^(2)=9.932,P=0.002).Satisfaction degree of family members in group D was higher than group Q(χ^(2)=4.043,P=0.044).Conclusion During process of pediatric sacral block anesthesia assisted with dexmedetomidine and propofol,dexmedetomidine can achieve significant effect in maintaining stable intraoperative vital signs,shortening postoperative recovery time,ensuring postoperative safety and improving patient comfort and satisfaction degree of family.
作者
李亚东
吴国荣
王霞
鲁凯
LI Yadong;WU Guorong;WANG Xia;LU Kai(Zhejiang University School of Medicine Affiliated Shaw Hospital,Xinjiang Corps Alar Hospital,Aksu,Xinjiang 843300;Zhejiang University School of Medicine Affiliated Shaw Hospital,Hangzhou,Zhejiang 310000)
出处
《智慧健康》
2023年第13期156-160,共5页
Smart Healthcare
基金
新疆阿克苏地区师市级科研《辅助镇静下骶管阻滞在小儿手术中的应用》(项目编号:2022YL01)。
关键词
小儿
骶管阻滞麻醉
右美托咪啶
丙泊酚
Children
Sacral canal block anesthesia
Dexmetomidine
Propofol
