首页> 中文期刊> 《中国实验诊断学》 >丙泊酚在消除小儿斜视手术七氟烷麻醉苏醒期躁动的临床观察

丙泊酚在消除小儿斜视手术七氟烷麻醉苏醒期躁动的临床观察

         

摘要

Objective To observe the effect of propofol on sevoflurane anesthesia agitation in pedo squint operation.rnMethods 110 pedo squint patients were randomly divided into two groups. Gruop P were received 1.5mg/kg propofol,rngroup N were recrived nermal saline. PACU residence time, agitation after operation , nausea vomitting and other adrnverse effect were recorded. The agitation after operation was evaluated by 5 mark rank standard of EA. ResultsrnPACU residence time in two groups do not have significant difference(P>0.05), agitation after operation in group Prnare weaker these in group N,in group N there is one patient has nausea and vomiting,one patient happens vein indwellrning needle defluvium. Conclusion In pedo-squint operation when the sevoflurane has been finished then give 1.5mg/kgrnonce can obviously get EA to become lower and make anesthesia nonactive. By this way zhe anesthesia palinesthesiarntime and PACU residence time will not be extended.%目的 观察丙泊酚对消除小儿斜视手术七氟烷麻醉苏醒期躁动的影响.方法 选择小儿斜视消除术病例110例,随机分为丙泊酚(P组)和生理盐水对照组(N组),分别给予丙泊酚1.5 mg/kg及生理盐水静点.分别记录PACU停留时间、术后躁动情况及恶心呕吐等不良反应情况,术后躁动采用5分躁动分级法评分.结果 PACU停留时间两组无显著性差异(P>0.05),苏醒躁动情况P组明显弱于N组(P<0.05),N组出现1例恶心、呕吐现象并有1例患儿发生静脉留置针脱落.结论 小儿斜视手术麻醉中停用七氟烷后给予单次剂量1.5 mg/kg的丙泊酚能明显降低术后躁动的发生,使麻醉更趋平稳,而并不会延长患儿麻醉苏醒时间和PACU停留时间.

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