静注曲马多预防小儿全麻苏醒期躁动的临床观察

目的 观察曲马多预防小儿全麻苏腥期躁动的效果.方法 选择全麻下行扁桃体和(或)腺样体摘除术的患儿40例,年龄3～8岁,随机均分为曲马多组和对照组,全麻插管后分别静注曲马多2mg/kg或相同容量的生理盐水.记录手术时间、麻醉时间、拔管时间并测定拔管前两组患儿的Comfort评分及苏醒期间的躁动评分,观察有无恶心呕吐、术后低氧血症、反流误吸等不良反应.结果 两组患儿的手术时间、麻醉时间、拔管时间、术后低氧血症、恶心呕吐发生率差异均无统计学意义.Comfort评分:镇静满意率曲马多组为80%,明显优于对照组的45%(P<0.05).躁动评分:曲马多组中无或轻度躁动的比率为85%,明显优于对照组的45%(P<0.05).结论 小儿扁桃体和(或)腺样体摘除术前静注曲马多2 mg/kg可获得苏醒期良好的镇静效果,减少拔管期的躁动,且不增加拔管时间、术后低氧血症、恶心呕吐、反流误吸等不良反应发生率.

Clinical efficacy of tramadol in the prevention of restlessness during anesthesia emergence in children

Objective To evaluate the preventive effect of tramadol on restlessness during emergence from general anesthesia in children.Methods Forty children aged 3 to 8 years old undergoing selective tonsillectomy and(or) adenoidectomy were allocated randomly into two groups with 20 cases each.Tramadol 2mg/kg was administered intravenously after the induction in tramadol group and the same volume normal saline was given in control group.The times of surgery,anesthesia and extubation were recorded.The comfort score b...