曲马多和咪达唑仑对预防小儿七氟醚麻醉术后苏醒期躁动的效果

目的探讨分析曲马多和咪达唑仑对预防小儿七氟醚麻醉术后苏醒期躁动的效果。方法对我院2010年～2011年实施小儿七氟醚麻醉术的外科手术的小儿80例,随机分为观察组和对照组,每组各40例,观察组术后给予曲马多治疗苏醒期躁动,对照组术后给予咪达唑仑治疗苏醒期躁动,比较两组的治疗效果。结果观察组患儿术后苏醒期未发生躁动的例数为28例,发生躁动的例数为7例,发生严重躁动的例数为5例;对照组患儿术后苏醒期未发生躁动的例数为8例,发生躁动的例数为23例,发生严重躁动的例数为9例。两组比较有显著差异,P<0.05,差异有统计学意义。结论曲马多和咪达唑仑对预防小儿七氟醚麻醉术后苏醒期躁动的效果比较,曲马多比咪达唑仑能显著降低小儿七氟醚麻醉术后苏醒期躁动发生率,曲马多具有良好的中枢性镇痛作用且对呼吸功能和意识状态影响较小,患者生命体征平稳,有利于术后恢复,是一种安全有效的防治方法。

Effect of Tramadol and Midazolam on the Prevention of Pediatric Sevoflurane After Anesthesia Recovery

Objective To investigate the analysis of tramadol and midazolam on prevention of pediatric sevoflurane anesthesia postoperative restlessness effect. Methods In our hospital in 2010 -2011 year to implement pediatric sevoflurane anesthesia in the surgical operation of 80 children, were randomly divided into the observation group and the control group, 40 cases in each group, the patients in the observation group were given after the restlessness of tramadol in the treatment, the control group was given treatment of midazolam to wake and restlessness, comparison the therapeutic effects of two groups. Results In the experimental group the postoperative recovery period was restless patients to count to 28, occurrence of restless cases 7 cases, severe restlessness of patients in the control group 5 cases; postoperative recovery period was restless patients to count to 8, occurrence of restless patients to count to 23, the occurrence of severe restlessness of patients for 9 cases. The two groups have significant difference, P 〈 0.05, the difference was statistically significant. Conclusion Tramadol and midazolam on prevention of pediatric sevoflurane anesthesia postoperative restlessness of effect of tramadol, than midazolam can significantly reduce pediatric sevoflurane anesthesia postoperative restlessness of incidence, tramadol has good central analgesic effect and on respiratory function and state of consciousness on smaller, vital signs of patients smooth, good postoperative recovery, is a safe and effective prevention and treatment methods.