护理干预联合右美托咪定对预防小儿全麻苏醒期躁动的研究1.doc

护理干预联合右美托咪定对小儿全麻苏醒期躁动的影响 1 摘要目的研究护理干预联合右美托咪定对小儿全麻苏醒期躁动的影响。方法行腹腔镜下斜疝颈高位结扎术小儿患者 60例,将其随机分为 A、B、C三组,每组20例。A组为护理干预+术后右美托咪定注射组,B为等剂量生理盐水对照组; C组为术后右美托咪定注射组。记录患者术前( T1) 、拔气管导管后 1分钟( T2 ), 拔气管导管后 30分钟( T3 )时的血压( MAP ),心率( HP ), 血氧饱和度(SPO2) 的变化情况,以及在 T2 , T3 时麻醉后恢复评分( AS )、躁动-镇静评分( RASS )。结果: 三组血压( MAP )与心率( HP)在 T2、T3时刻关系为 A<C<B(P<) ; 在T2,T3 时刻各组间 RASS 评分比较: A 组明显于低于 B,C 两组( P< ), C 组评分明显低于对照组 B(P< );在T2时刻各组间 AS评分比较:B组明显于低于 A,C 两组(P< );在T3时刻,A,B,C三组间 AS评分差异无统计学意义;在三组中,各组 AS评分 T3时刻均高于 T2(P< )。结论护理干预联合右美托咪定可有效降低小儿全麻患者苏醒期躁动并能降低患者拔管期心血管反应。关键词: 护理干预;右美托咪定;躁动 The influence of emergence agitation in children's nursing bined with dexmedetomidine LIAN Qi-wen (Anesthesiology Department , Zhongshan People ’s Hospital,Zhongshan 528403,China) Abstract Objective To study the influence of emergence agitation in children the nursing bined with dexmedetomidine. Methods laparoscopic inguinal hernia neck ligation in60 cases, which were randomly divided into A, B,C three groups, 20 cases in each group. A group for nursing intervention and postoperative injection of dexmedetomidine group; B group used nursing intervention group; C group for postoperative dexmedetomidine group. Were recorded before operation (T1), extubation after 1 min (T2), tracheal extubation after 30 min (T3), blood pressure ( MAP ), heart rate (HP), oxygen saturation (SpO2), and changes; T2, T3 after anesthesia reco