丙泊酚在消除小儿斜视手术七氟烷麻醉苏醒期躁动的临床观察 |
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引用本文: | 赵明春,王卓实,杜浩,陈丽宇,王思思,王越. 丙泊酚在消除小儿斜视手术七氟烷麻醉苏醒期躁动的临床观察[J]. 中国实验诊断学, 2013, 17(4): 720-721 |
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作者姓名: | 赵明春 王卓实 杜浩 陈丽宇 王思思 王越 |
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作者单位: | 赵明春 (沈阳何氏眼科医院,麻醉科,辽宁,沈阳110087); 王卓实 (沈阳何氏眼科医院,麻醉科,辽宁,沈阳110087); 杜浩 (吉林大学白求恩医学院,解剖学系,吉林,长春130021); 陈丽宇 (吉林大学白求恩医学院,解剖学系,吉林,长春130021); 王思思 (吉林大学白求恩医学院,解剖学系,吉林,长春130021); 王越 (吉林大学白求恩医学院,解剖学系,吉林,长春130021); |
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摘 要: | 目的观察丙泊酚对消除小儿斜视手术七氟烷麻醉苏醒期躁动的影响。方法选择小儿斜视消除术病例110例,随机分为丙泊酚(P组)和生理盐水对照组(N组),分别给予丙泊酚1.5mg/kg及生理盐水静点。分别记录PACU停留时间、术后躁动情况及恶心呕吐等不良反应情况,术后躁动采用5分躁动分级法评分。结果 PACU停留时间两组无显著性差异(P〉0.05),苏醒躁动情况P组明显弱于N组(P〈0.05),N组出现1例恶心、呕吐现象并有1例患儿发生静脉留置针脱落。结论小儿斜视手术麻醉中停用七氟烷后给予单次剂量1.5mg/kg的丙泊酚能明显降低术后躁动的发生,使麻醉更趋平稳,而并不会延长患儿麻醉苏醒时间和PACU停留时间。
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关 键 词: | 丙泊酚 七氟醚 麻醉 苏醒期躁动 |
Observation of propofol on sevoflurane anesthesia agitation in pedo-squint operation |
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Affiliation: | ZHAO Ming-chun ,WANG Zhuo- shi , DU Hao , et al. (Dept. of anesthesia, Shenyang He Ophthalmologic Hospital, Shenyang 110087, China) |
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Abstract: | Objective To observe the effect of propofol on sevoflurane anesthesia agitation in pedo-squint operation. Methods 110 pedo-squint patients were randomly divided into two groups. Gruop P were received 1.5mg/kg propofol, group N were recrived nermal saline. PACU residence time, agitation after operation , nausea vomitting and other ad- verse effect were recorded o The agitation after operation was evaluated by 5 mark rank standard of EA. Results PACU residence time in two groups do not have significant difference(P〉0.05), agitation after operation in group P are weaker these in group N,in group N there is one patient has nausea and vomiting,one patient happens vein indwell- ing needle defluvium. Conclusion In pedo-squint operation when the sevoflurane has been finished then give 1.5mg/kg once can obviously get EA to become lower and make anesthesia nonactive. By this way zhe anesthesia palinesthesia time and PACU residence time will not be extended. |
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Keywords: | Propofol Sevoflurane Anesthesia EA |
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