口服咪唑安定预防七氟醚麻醉下行MRI检查患儿躁动的护理观察

目的：观察咪唑安定对七氟醚麻醉行MRI检查患儿躁动的预防作用。方法60名患儿随机分成两组（M组和C组），每组30例。M组于麻醉前口服咪唑安定，C组给予相同剂量10%葡萄糖，观察术后躁动发生率、MRI检查时间、睁眼时间以及离开麻醉后苏醒室时间。结果C组术后躁动发生率、MRI检查时间、睁眼时间以及离开麻醉后苏醒室时间分别为50%、（32±8）min、（10±5）min和（29±6）min；M组分别为13%、（33±6）min、（11±4）min和（28±5）min，其中C组术后躁动发生率显著高于M组，其余指标组间无差异。结论咪唑安定能够明显降低患儿七氟醚麻醉后躁动发生率。

The nursing observation of midazolam on the agitation of children who received sevoflurane anesthesia before MRI examination

Objective To observe the preventive effect of midazolam on the agitation of children who received sevoflurane anesthesia before MRI examination. Methods 60 children were randomly divided into two groups namely group M and group C （30 in each group）. The children of group M received midazolam orally, while those of C group received 10% glucose. The incidence of postoperative agitation, MRI examination time, eye opening time, and the time to leave the post-anesthesia care unit（PACU） were observed and recorded. Results For the group C, the incidence of agitation, MRI examination time, eye opening time, and the time to leave the PACU was 50%, （32±8）min, （10±5） min and （29±6）min, respectively; for the group M, the incidence of agitation, MRI examination time, eye opening time, and the time to leave the PACU was 13%, （33±6）min, （11±4）min and （28±5）min, respectively. The incidence of agitation was higher in group C than that in group M, there were no significant difference of other indexes between the two groups. Conclusion The incidence of postoperative agitation of children after sevoflurane anesthesia could be decreased by midazolam.