右美托咪啶和咪达唑仑对硬膜外麻醉下小儿腹腔镜手术患儿镇静效果的比较(2)
综上所述,与咪达唑仑比较,硬膜外麻醉下小儿阑尾手术患者右美托咪啶镇静时循环呼吸稳定,应激反应更小,不抑制呼吸,并发症少,效果较好,值得在临床上进一步推广。
[参考文献]
[1]McHoney MC,Corizia L,Eaton S,et al. Laparoscopic surgery in children is associated with an intraoperative hypermetabolic response[J]. Surg Endosc,2006,20(3):452-457.
[2]庄心良,曾因明,陈伯銮. 现代麻醉学[M]. 第3版.北京:人民卫生出版社,2003:784.
[3]章艳君,刘金柱. 全凭静脉麻醉下小儿腹腔镜手术对呼吸循环系统影响[J]. 天津医科大学学报,2011,17(1):45-47.
[4]Yind XK,Xiang ZG,Prasai A,et al. The observation of response to cardiovascular system at periextubation period after continuous epidural anesthesia combined with general anesthesia[J]. Nepal Med Coll J,2003, 5(1):6-8.
[5]Nishiyama T,Yokoyama T,Hanaoka K. Sedation guidelines for midazolam infusion during combined spinal and epidural anesthesia[J]. J Clin Anesth,2004,16(8):568-572.
[6]Venn M,Newman J,Grounds M. A phase II study to evaluate the efficacy of dexmedetomidine for sedation in the medical intensive care unit[J]. Intensive Care Med,2003,29(2):201-207.
[7]Talke P,Richardson CA,Scheinin M,et al. Postoperative pharmacokinetics and sympatholytic effects of dexmedetomidine[J]. Anesth Analg,1997,85(5):1136-1142.
(收稿日期:2011-12-15), 百拇医药(殷萍)
[参考文献]
[1]McHoney MC,Corizia L,Eaton S,et al. Laparoscopic surgery in children is associated with an intraoperative hypermetabolic response[J]. Surg Endosc,2006,20(3):452-457.
[2]庄心良,曾因明,陈伯銮. 现代麻醉学[M]. 第3版.北京:人民卫生出版社,2003:784.
[3]章艳君,刘金柱. 全凭静脉麻醉下小儿腹腔镜手术对呼吸循环系统影响[J]. 天津医科大学学报,2011,17(1):45-47.
[4]Yind XK,Xiang ZG,Prasai A,et al. The observation of response to cardiovascular system at periextubation period after continuous epidural anesthesia combined with general anesthesia[J]. Nepal Med Coll J,2003, 5(1):6-8.
[5]Nishiyama T,Yokoyama T,Hanaoka K. Sedation guidelines for midazolam infusion during combined spinal and epidural anesthesia[J]. J Clin Anesth,2004,16(8):568-572.
[6]Venn M,Newman J,Grounds M. A phase II study to evaluate the efficacy of dexmedetomidine for sedation in the medical intensive care unit[J]. Intensive Care Med,2003,29(2):201-207.
[7]Talke P,Richardson CA,Scheinin M,et al. Postoperative pharmacokinetics and sympatholytic effects of dexmedetomidine[J]. Anesth Analg,1997,85(5):1136-1142.
(收稿日期:2011-12-15), 百拇医药(殷萍)