氟马西尼对学龄前儿童七氟烷麻醉苏醒期急性躁动的影响.docVIP

精品论文 参考文献 氟马西尼对学龄前儿童七氟烷麻醉苏醒期急性躁动的影响 （宜宾市第一人民医院 四川 宜宾 644000） 　　【摘要】 目的：观察氟马西尼对学龄前儿童七氟烷麻醉苏醒期躁动的影响。方法：选择在七氟烷麻醉下行睾丸下降固定术,ASAⅠ～Ⅱ级，年龄4～7岁儿童60例，每组20人随机分入F1组（5ug/kg氟马西尼）、F2组（10ug/kg氟马西尼）和C组(安慰剂生理盐水5ml)，观察记录年龄、体重、失血量、输液量、手术时间、拔管时间、CHEOPS疼痛评分以及小儿全身麻醉苏醒期躁动量表拔管后1分钟（T0）、5分钟（T1）、15分钟（T2）、30分钟（T3）PAED评分gt;12分人数。结果：三组患儿年龄、体重、失血量、输液量、手术时间和拔管时间未见明显差异（Pgt;0.05）；F1组、F2组与C组比较拔管后1分钟、5分钟、15分钟PAED评分gt;12分人数有明显差异（Plt;0.05），F1组与F2组拔管后1分钟比较有差异（Plt;0.05），其余时间段有差异但无统计学意义（Pgt;0.05），三组患儿拔管30分钟PAED评分gt;12分均为零例。结论 应用较大剂量氟马西尼能有效降低学龄前期儿童七氟烷麻醉苏醒期急性躁动发生。 　　【关键词】 氟马西尼；七氟烷；学龄前儿童；急性躁动 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2016）29-0040-03 　　Effects of flumazenil on emergence agitation after sevoflurane anesthesia in children 　　Wang Zhi,Wang Xiaojun.Department of Anesthesiology,The First Peoples Hospital of Yibin, Sichuan Provicne, Yibin 644000,China 　　【Abstract】Objective The aim of this study was to evaluate effects of flumazenil on emergence agitation after sevoflurane anesthesia in pediatric patients.Methods A total of 60 American Society of Anesthesiologists (ASA) I-II pediatric patients,aged 4 to 7-year-old, undergoing orchidopexy under sevoflurane anesthesia were allocated randomly into 3 groups (F1,F2 and C,n=20 each),Groups F1-F2 received an intravenous injection of flumazenil at 5,10ug/kg on the end of operations , and Group C ,taken as control, received an intravenous injection equal volume of normal salin with 5ml at the same time.Age,weight,bleeding volume, rehydration volume ,operation time and extubation time,CHEOPS，PAED score of 1min（T0）,5min（T1）,15min（T2）,30min（T3） after extubation were observed and recorded.Results Bleeding volume, rehydration volume,operation time and extubation time were not differences in groups F1,F2 and C（Pgt;0.05）.PAED score gt; 12 of 1,5,15min after extubation were significantly different on groups F1and F2 to C（Plt;0.05）. F1and F2 PAED score gt; 12 of 1min after extubation were significantly different（Pgt;0.05） .PAED sc