氟比洛芬酯超前镇痛对小儿腹腔镜手术麻醉苏醒期躁动的影响研究(2)
本研究结果显示,观察组与对照组的苏醒时间比较差异无统计学意义(P>0.05),说明氟比洛芬酯超前镇痛不会延长麻醉苏醒时间;观察组苏醒期躁动评分及躁动发生率均显著低于对照组(P<0.05),提示氟比洛芬酯用于预防小儿腹腔镜手术全麻苏醒期躁动效果显著。
综上所述,氟比洛芬酯超前镇痛可以降低小儿腹腔镜手术全麻苏醒期躁动的发生率,且不会延长麻醉苏醒时间。
参考文献
[1]卢桠楠,许冬妮,周嘉嘉,等.小儿全身麻醉苏醒期躁动的危险因素分析[J].中山大学学报(医学科学版),2013,34(2):240-243.
[2]賈继娥,陈佳瑶,李文献,等.右旋美托咪定对小儿七氟醚麻醉后苏醒期躁动的影响[J].复旦学报(医学版),2012,39(3):293-296,323.
[3] Fujii Y,Itakura M.Pretreatment with flurbiprofen axetil,flurbiprofen axetil preceded by venous occlusion,and a mixture of flurbiprofen axetil and propofol in reducing pain on injection of propofol in adult Japanese surgical patients:A prospective,randomized,double-blind,placebo-controlled study[J].Clinical Therapeutics,2009,31(4):721-727.
[4]赵艳玲,王光磊.右美托咪定对小儿七氟烷吸入麻醉苏醒期躁动的影响[J].华西医学,2012,27(9):1366-1368.
[5]刘秀珍,杨鸥,吴楠,等.腹股沟疝手术患儿全身麻醉后苏醒期躁动危险因素的回顾性研究[J].中国医刊,2015,50(5):81-83.
[6] Chandler N M,Danielson P D.Single-incision laparoscopic cholecystectomy in children:a retrospective comparison with traditional laparoscopic cholecystectomy[J].Journal of Pediatric Surgery,2011,46(9):1695-1699.
[7] Savla J R,Ghai B,Bansal D,et al.Effect of intranasal dexmedetomidine or oral midazolam premedication on sevoflurane EC50 for successful laryngeal mask airway placement in children:A randomized,double-blind,placebo-controlled trial[J].Paediatric Anaesthesia,2014,24(4):433-439.
[8]余念恩,李平,李安学.右美托咪定对七氟醚复合骶管阻滞小儿麻醒期躁动的预防作用及炎症应激反应的影响[J].海南医学院学报,2015,21(5):692-694,698.
[9]刘丽丹.氟比洛芬酯联合曲马多预防小儿全麻术后躁动的探讨[D].沈阳:中国医科大学,2010.
[10]汪国海,王群.氟比洛芬酯和地佐辛对腹腔镜手术患者苏醒期躁动的影响[J].吉林医学,2016,37(8):2019-2021.
[11]杜建红,范春水,金建文,等.氟比洛芬酯超前镇痛对肱骨骨折患者术后镇痛的影响[J].海南医学院学报,2012,18(3):404-406.
(收稿日期:2016-11-07), http://www.100md.com(宗娜)
综上所述,氟比洛芬酯超前镇痛可以降低小儿腹腔镜手术全麻苏醒期躁动的发生率,且不会延长麻醉苏醒时间。
参考文献
[1]卢桠楠,许冬妮,周嘉嘉,等.小儿全身麻醉苏醒期躁动的危险因素分析[J].中山大学学报(医学科学版),2013,34(2):240-243.
[2]賈继娥,陈佳瑶,李文献,等.右旋美托咪定对小儿七氟醚麻醉后苏醒期躁动的影响[J].复旦学报(医学版),2012,39(3):293-296,323.
[3] Fujii Y,Itakura M.Pretreatment with flurbiprofen axetil,flurbiprofen axetil preceded by venous occlusion,and a mixture of flurbiprofen axetil and propofol in reducing pain on injection of propofol in adult Japanese surgical patients:A prospective,randomized,double-blind,placebo-controlled study[J].Clinical Therapeutics,2009,31(4):721-727.
[4]赵艳玲,王光磊.右美托咪定对小儿七氟烷吸入麻醉苏醒期躁动的影响[J].华西医学,2012,27(9):1366-1368.
[5]刘秀珍,杨鸥,吴楠,等.腹股沟疝手术患儿全身麻醉后苏醒期躁动危险因素的回顾性研究[J].中国医刊,2015,50(5):81-83.
[6] Chandler N M,Danielson P D.Single-incision laparoscopic cholecystectomy in children:a retrospective comparison with traditional laparoscopic cholecystectomy[J].Journal of Pediatric Surgery,2011,46(9):1695-1699.
[7] Savla J R,Ghai B,Bansal D,et al.Effect of intranasal dexmedetomidine or oral midazolam premedication on sevoflurane EC50 for successful laryngeal mask airway placement in children:A randomized,double-blind,placebo-controlled trial[J].Paediatric Anaesthesia,2014,24(4):433-439.
[8]余念恩,李平,李安学.右美托咪定对七氟醚复合骶管阻滞小儿麻醒期躁动的预防作用及炎症应激反应的影响[J].海南医学院学报,2015,21(5):692-694,698.
[9]刘丽丹.氟比洛芬酯联合曲马多预防小儿全麻术后躁动的探讨[D].沈阳:中国医科大学,2010.
[10]汪国海,王群.氟比洛芬酯和地佐辛对腹腔镜手术患者苏醒期躁动的影响[J].吉林医学,2016,37(8):2019-2021.
[11]杜建红,范春水,金建文,等.氟比洛芬酯超前镇痛对肱骨骨折患者术后镇痛的影响[J].海南医学院学报,2012,18(3):404-406.
(收稿日期:2016-11-07), http://www.100md.com(宗娜)