目的:探讨应用右旋美托咪定治疗小儿七氟醚麻醉后苏醒躁动的效果.方法: 将92例行七氟醚麻醉患儿随机分为研究组与对照组,研究组患儿给予右旋美托咪定,对照组给予生理盐水,分析两组患儿术后唤醒时间、麻醉维持时间、苏醒期躁动发生率及PAED得分的变化.结果: 两组患儿在术后唤醒时间、麻醉维持时间上差异无统计学意义(P>0.05),但研究组的躁动发生率及刚回病房、回房5min的PAED得分明显低于生理盐水组(P<0.05),两组患儿回房10min后的躁动严重程度差异不再具有统计学意义(P>0.05).结论:小儿七氟醚麻醉后运用右旋美托咪定对减少苏醒期躁动发生率及发生严重程度均具有较好效果.%Objective: To investigate the effect of dexmedetomidine on postoperative restlessness after sevoflurane anesthesia in children.Methods: 92 cases of sevoflurane anesthesia children were regarded as the research object, they were randomly divided into experimental group and control group, the experimental group were given dexmedetomidine, the control group received saline, we retrospectively analyzed the wake-up time after operation, anesthesia duration, agitation rate and PAED score changes between two groups.Results: The changes of the postoperative awake time, anesthesia duration in two groups had no significant difference, but the incidence of restlessness and the PAED score of backing to the ward, backing to the room after 5mins of experimental group is significantly lower than that of the control group, agitation severity differences of backing to the room after 10mins between two groups of children were no longer statistically significant.Conclusion: The use of dexmedetomidine after sevoflurane anesthesia in children has a good effect on reducing the incidence of agitation and the severity of it.
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