|
|
|
| Application of Dexmedetomidine Nasal Drops Combined With Sevoflurane Inhalation in Children's Lower Abdominal Surgery |
| Zeng Defeng, Ye Su, Wei Xiangjie |
| Department of Surgical Anesthesia,Longchuan County People's Hospital,Heyuan 517300,China |
|
|
|
|
Abstract Objective To explore the clinical effect of dexmedetomidine nasal drops combined with sevoflurane inhalation anesthesia induction in children's lower abdominal surgery. Methods 88 children who underwent abdominal were selected as the research objects,according to the anesthesia method,they were divided into observation group and control group,each with 44 cases,The observation group was given dexmedetomidine nasal drip combined with sevoflurane inhalation,and the control group was given sevoflurane inhalation.The indexes,hemodynamic indexes,satisfaction degree of sedation,The indexes,hemodynamic indexes,satisfaction degree of sedation,postoperative restlessness score and adverse reactions during the recovery period of anesthesia were compared between the two groups of children. Results The staying time,eye-opening time,and extubation time of the observation group were better than those of the control group（P<0.05）.Two hours after skin incision,the observation group’s average arterial pressure and heart rate index were better than those of the control group（P<0.05）The sedation satisfaction degree of the observation group was significantly higher than that of the control group（P<0.05）,and the postoperative restlessness scores of the observation group were lower than those of the control group after 5 minutes and 15 minutes after waking up（P<0.05）. Conclusion Dexmedetomidine nasal drops combined with sevoflurane inhalation applied to children's lower abdominal surgery has a clear effect,helps stabilize hemodynamics,effectively improves children's postoperative restlessness,and has high safety.
|
|
Received: 14 January 2022
|
|
|
|
|
|
[1] 钱秋,李月琴.右美托咪定滴鼻预防儿童七氟烷全麻苏醒期躁动的有效性分析[J].沈阳药科大学学报,2021,38(S1):54.
[2] 李术榕,赵二贤,袁静静.右美托咪定复合七氟烷吸入麻醉在日间儿童牙病治疗术中的应用[J].口腔医学研究,2019,35(1):64-66.
[3] 刘妍. 七氟烷吸入与右美托咪定滴鼻对患儿麻醉前镇静和苏醒后躁动的影响[J].黑龙江医药科学,2019,42(5):209-210.
[4] 曾和清,易理生,肖文军.持续静注右美托咪定对腹腔镜下宫颈癌根治术患者全麻恢复期的影响[J].实用肿瘤学杂志,2016,30(2):135-139.
[5] 赵亮,王绍林.右美托咪定滴鼻和七氟烷吸入对患儿麻醉前镇静和苏醒后躁动的影响[J].医学信息,2018,31(10):124-125.
[6] 张琦,张修德.右美托咪啶对老年腹部手术患者血流动力学、应激反应以及苏醒质量的影响[J].中国现代普通外科进展,2021,24(8):657-659.
[7] 王旭,张加强.右美托咪定联合七氟烷在小儿先天性心脏病微创封堵手术中的应用效果[J].新乡医学院学报,2021,38(5):445-448.
[8] 郭东旭,刘聪霞.盐酸右美托咪定滴鼻在小儿七氟烷麻醉中的应用[J].河南医学研究,2020,29(12):2212-2214.
[9] 李娜,何燕娜,刘晓宁.右美托咪定对手术患儿七氟烷麻醉后血流动力学及苏醒期躁动的影响[J].北方药学,2020,1703):44-45.
[10] 张甜歌,唐文,徐颖,等.右美托咪定滴鼻联合七氟烷在小儿磁共振检查中镇静效果的临床分析[J].第三军医大学学报,2020,42(7):730-733. |
| [1] |
. [J]. journal1, 2022, 42(5): 66-67. |
| [2] |
. [J]. journal1, 2021, 41(4): 79-80. |
|
|
|
|
2022, Vol. 42 
