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不同镇静方法在婴幼儿CTA检查中的应用研究

机译:不同镇静方法在婴幼儿CTA检查中的应用研究

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Abstract:Objective To observe the application of different methods of sedation for congenital heart disease(CHD)infants during computed tomography angiography(CTA)examination. Methods A total of 158 CHD infants undergoing CTA examination were randomly divided into two groups, with 79 cases in each group. Group A used oral chloral hydrate and group B used propofol intravenous injection method before CTA examination. The heart rate, breath rate, oxygen saturation(SpO2), onset time of drug, recovery time, emergence agitation and Ramsay sedation score were observed and compared between two groups. Results There was no significant difference in heart rate, breath rate and SpO2 between two groups(P0.05). Compared with those in the Group A, infants in the group B had an earlier onset time of drug, earlier recovery time, lower incidence of emergence agitation, higher Ramsay sedation score and success rate of CTA examination, with significant difference(P0.01). Conclusion Intravenous propofol method has obvious sedative effects for CHD infants during CTA examination, and it is safe, effective to improve the efficiency of CTA examination.
机译:摘要:目的观察不同镇静方法对先天性心脏病(CHD)婴儿在计算机断层血管造影(CTA)检查中的应用。方法将158例接受CTA检查的冠心病婴儿随机分为两组,每组79例。 CTA检查前,A组使用口服水合氯醛,B组使用丙泊酚静脉注射。观察两组患者的心律,呼吸频率,血氧饱和度(SpO2),药物起效时间,恢复时间,出现躁动和Ramsay镇静评分。结果两组心率,呼吸频率和SpO2无明显差异(P> 0.05)。与A组相比,B组婴儿起病时间更早,恢复时间更早,出现躁动的发生率更低,Ramsay镇静分数更高,CTA检查成功率更高,差异有统计学意义(P <0.01)。 。结论静脉丙泊酚法对冠心病婴儿在CTA检查中具有明显的镇静作用,安全,有效地提高了CTA检查的效率。

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