右美托咪定术前滴鼻用于腹股沟疝手术小儿镇静及预防术后躁动的临床效果

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Abstract Objective To explore the clinical effect of the sedation and the prevention of restlessness in children with inguinal hernia before the operation of Dexmedetomidin for inguinal hernia surgery.Methods Selected 60 children undergoing inguinal hernia surgery in our hospital from January 2016 to December 2017 were divided into contron group and study group according to the random number table method,30 cases in each group.The control group were dripped into saline by nose,the study group were dripped into Dexmedetomidine through the nose before operation.The sedation score,separation emotion score,mask resistance score,laryngeal mask extraction time,recovery time,postoperative 30 min,1 h and postop 2 h,restlessnessscore of twogroupsof patients were compared between the two groups after 30 min treatment.Results The sedative score of 30 min in the study group was significantly lower than that of the control group,and the difference was statistically significant(P＜0.05）.The separation emotion score of 30 min in the study group was significantly higher than that of the control group(P＜0.05）.The masks resistance score of 30 min in the study group was significantly better than that of the control group,and the difference was statistically significant(P＜0.05）.There was no significant difference between the two groups of laryngeal mask extraction time and waking time(P＞0.05）.The restlessness scores of 30 min,1 h after operation and 2 h after operation in the study group were significantly lower than those in the control group (P<0.05）.Conclusion Preoperative Dexmedetomidine Drip through the nose has good sedative effect in children with inguinal hernia surgery.It does not affect the quality of awakening and reduce the incidence of postoperative agitation.It is worthy of clinical promotion.

Key words： Inguinal hernia surgery Dexmedetomidin Nose Drops Postoperative restlessness Sedation

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	SHI Lei
	ZHANG Jia-qun
	FENGYing-ni

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SHI Lei,ZHANG Jia-qun,FENGYing-ni. Clinical effect of Dexmedetomidin′s Nasal Drip for inguinal hernia surgery in children′s sedation and postoperative restlessness[J]. 中国当代医药, 2018, 25(24): 90-92.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I24/90

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