期刊文献+

右美托咪定对小儿静吸复合麻醉苏醒期躁动的影响 被引量:12

在线阅读 下载PDF
导出
摘要 目的观察右美托咪啶对小儿静吸复合麻醉苏醒期躁动的影响。方法本组80例患儿全麻后随机分为治疗组与对照组,每组40例。治疗组给予氯胺酮1 mg/kg,丙泊酚1 mg/kg,右美托咪啶0.5μg/kg;对照组给予氯胺酮1 mg/kg,丙泊酚1 mg/kg,生理盐水15 mL。均静脉注射。观察两组患儿的Ramsay镇静评分与躁动评分。结果两组镇静评分与躁动评分相比差异均有统计学意义(P<0.05)。对照组在苏醒时烦躁不安、哭闹,不能配合医护工作;治疗组患儿不哭不闹,安静合作。结论术中加用小剂量右美托咪啶的患儿苏醒期躁动发生率小且能达到良好的镇静状态,无苏醒期延迟等不良反应。
作者 赵艾 付少红
出处 《实用药物与临床》 CAS 2013年第3期263-264,共2页 Practical Pharmacy and Clinical Remedies
  • 相关文献

参考文献6

二级参考文献23

  • 1[1]Bmith I,Write PF,Nathanson M,et al.propofol:An Update on it'sClinical Use[J].Anesthesidogy,1994,81(3):1005~1021.
  • 2[2]Barker P,Langton JA,Wilson IG,et al.Movements of the Vocal Cords on Induction of Anesthesia with Thiopentoneor Propofol[J].Br J Anaesth,1992,69(1):23~26.
  • 3[3]Brsndner B,Blagrove M,Mccallurm G,et al.Dreams,lmages and Emotions Associated with Propofol Anaesthesia[J].Anaesthesia,1997,52(8):750~755.
  • 4[4]Marsch Scv,Schaefer HG,Tschan C,et al.Dreaming and Anaesthesia:Total Anaestheia with Propofol Versus Balanced Volatile Anaesthesia with Enflurane[J].Eur J Anaesthesiol,1992,9(4):331~333.
  • 5Campistol JM,Sacks SH.Mechanisms of nephrotoxicity[J].Transplantation,2000,69(12 Supp 1):S5-10.
  • 6Lerman J, Sikich N, kleinman S, et al.The pharmacology of sevoflurane in infants and children. Anesthesiology, 1994, 80: 814-824
  • 7Samer JB, Levine M, Davis PJ, Clinical characteristic of sevoflurane in children: A comparison with halothane. Anesthesiology, 1995, 82:38-46
  • 8Piat V, Dubois MC, Johanet S, et al. Induction and recovery characteristics and hemodynamic responses to sevoflurance and halothane in children, Anesth Anallg, 1994, 79:840-844
  • 9Naito Y, Tamai S, Shingu K, et al. Comparison between sevoflurane and halothane for paediatric ambulatory anesthesia. BRJ Anesth, 1991,67: 387 - 389
  • 10Lerman J, Davis PJ, welborn LG, et al. Induction, reco very, and safety characteristics of sevofurane in children undergoing ambulatory surgery. Anesthesiology, 1996, 84: 1332-1340

共引文献69

同被引文献120

  • 1何纲,刘茂才,黄培新,黄燕.脑脉Ⅱ号口服液对高血压脑出血大鼠脑损伤的保护作用[J].中国中西医结合急救杂志,2005,12(1):13-16. 被引量:7
  • 2吴成翰,丁喜艳,王海燕,叶小包,黄绳跃,黄爱民,李会忠,吴松鹰,余吉,严晓华.脑出血患者血肿周围神经元凋亡及相关调控基因的观察[J].中华医学杂志,2006,86(43):3073-3076. 被引量:17
  • 3Fontana C,Di Donato A,Di Giacomo G,et al.postoperative analgesia for arthroscopic shoulder surgery:a prospective randomized controlled postoperative study of intraarticular,subacromial injection,interscalenic brachial plexus block and intraarticular plus subacromial injection efficacy[J].Eur J Anaesthesiol,2009,26(8):689-693.
  • 4Olutoye OA,Glover CD,Diefenderfer JW,et al.The effect of intraoperative dexmedetomidine on postoperative analgesia and sedation in pediatric patients undergoing tonsillectomy and adenoidectomy[J].Anesth Analg,2010,111(2):490-495.
  • 5Blaudszun G,Lysakowski C,Elia N,et al.Effect of perioperative systemic 2 agonists on postoperative morphine consumption and pain intensity.systematic review and meta-analysis of randomized controlled trials[J].Anesthesiology,2012,116(6):1312-1322.
  • 6Sadhasivam S,Boat A,Mahmoud M.Comparison of patient-controlled analgesia with and without dexmedetomidine following spine surgery in children[J].J Clin Anesth,2009,21(7):493-501.
  • 7Baba Y,Kohase H,Oono Y,et al.Effects of dexmedetomidine on conditioned pain modulation in humans[J].Eur J Pain,2012,16(8):1137-1147.
  • 8Gurbet A,Basagan-Mogol E,Turker G,et al.Intraoperative infusion of dexmedetomidine reduces perioperative analgesic requirements[J].Can J Anesth,2006,53(7):646-652.
  • 9Unlugenc H,Gunduz M,Guler T,et al.The effect of pre-anaesthetic administration of intravenous dexmedetomidine on postoperative pain in patients receiving patient-controlled morphine[J].Eur J Anaesthesiol,2005,22(5):386-391.
  • 10Gan TJ,Meyer TA,Apfel CC,et al.Society for Ambulatory Anesthesia:Society for Ambulatory Anesthesia guidelines for the management of postoperative nausea and vomiting[J].Anesth Analg,2007,105(6):1615-1628.

引证文献12

二级引证文献68

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部