地佐辛对腹腔镜手术患儿苏醒期躁动的影响

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Abstract Objective To explore the effect of Dezocine on recovery period agitation in children with laparoscopic surgery.Methods A total of 86 children undergoing laparoscopic hernia sac high ligation surgery admitted to Shunde Hospital of Southern Medical University from March 2018 to April 2021 were selected retrospectively as the study subjects,and divided into the control group and the observation group according to the anesthetic drugs different,with 43 cases in each group.The control group administered saline on the basis of conventional anesthesia measures,and the observation group gave Dezocine on the basis of conventional anesthesia measures.The vital signs,agitation scores at different time points,awakening period,pain score,extubation time,anesthesia monitoring time and monitoring anesthesia improvement score were compared between the two groups.Results At 5 min before operation (T0),the time of drug with drawal (T1),the mean arterial pressure and heart rate were compared between the two groups,with no significantly significant differences (P＞0.05).At extubation (T2),and 5 min after extubation (T3),the mean arterial pressure and heart rate in the observation group were lower than those in the control group at the same period,and the differences were statistically significant (P＜0.05).The mean arterial pressure and heart rate in the control group at T1,T2 and T3 were higher than those at T0 in this group,and the differences were statistically significant (P＜0.05).The mean arterial pressure in the observation group at T1,T2 and T3 was higher than that at T0 in this group,and the difference was statistically significant (P＜0.05).The heart rate in the observation group at T1 and T2 was higher than that at T0 in this group,and the difference was statistically significant (P＜0.05).The heart rate in the observation group at T3 was compared with T0 in this group,with no significantly significant difference (P＞0.05).The scores of agitation and pain in the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).There were no significant differences in extubation time and anesthesia improvement score between the two groups (P＞0.05).The anesthesia monitoring times in the observation group was longer than that in the control group,the difference was statistically significant (P＜0.05).Conclusion Injecting Dezocine during laparoscopic high ligation of the hernia sac could effectively improve the incidence of restlessness in children after general anesthesia and promote stable hemodynamics.

Key words： Laparoscopy High hernia sac ligation Dezocine Restlessness during recovery period Mean arterial pressure Heart rate Pain score Extubation time Anesthesia monitoring

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	WU Huiyan
	ZHANG Yanjing

Cite this article:

WU Huiyan,ZHANG Yanjing. Effect of Dezocine on recovery period agitation in children with laparoscopic surgery[J]. 中国当代医药, 2022, 29(3): 107-110.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I3/107

[1]	徐国勇.不同剂量地佐辛对腹腔镜斜疝修补术患儿全麻苏醒期躁动的影响[J].广西医学，2018，40（10）：1157-1159，1170.
[2]	Chan IH，Tam PK.Laparoscopic inguinal hernia repair in infants and children：state-of-the-art technique[J].Eur J Pediatr Surg，2017，27（6）：465-471.
[3]	李淑芬，安振平.地佐辛预处理对小儿全麻手术苏醒期躁动及相关内环境变化的影响[J].海南医学院学报，2018，24（11）：1085-1088，1092.
[4]	许丹阳，齐向欣，李敏，等.氟比洛芬酯复合地佐辛对高度尼古丁依赖患者腹腔镜术后疼痛的影响[J].国际麻醉学与复苏杂志，2020，41（12）：1155-1158.
[5]	徐启明，郭曲练，姚尚龙，等.临床麻醉学[M].北京：人民卫生出版社，2005：10-11.
[6]	丁涛，曲月星，徐海霞，等.丙泊酚联合七氟烷复合麻醉对小儿麻醉苏醒期躁动评分的影响[J].现代生物医学进展，2016，16（26）：5103-5105.
[7]	汪玉雯，潘茜恒，陈永权.围术期多模式处理对小儿全麻苏醒期躁动及术后行为改变的影响[J].沈阳医学院学报，2018，20（6）：499-501，504.
[8]	方业珍，劳贤邦，马惠，等.Aldrete 苏醒评分在麻醉复苏期患者中的应用[J].齐鲁护理杂志，2017，23（10）：60-62.
[9]	高玉峰，汤新，郭旭东，等.地佐辛联合酮咯酸氨丁三醇预防性镇痛对腹腔镜胆囊切除术患者辅助麻醉和术后复苏质量的影响[J].广东医学，2018，39（1）：43-46.
[10]	赵扬，陈亮.塞来昔布联合地佐辛对肺癌围术期患者疼痛，炎性反应和肺功能的影响[J].西北药学杂志，2019，34（5）：661-666.
[11]	赵俊锦，岳永猛，焦艳玲，等.地佐辛联合右美托咪定对乳腺癌根治术术后苏醒质量、免疫功能的影响[J].实用药物与临床，2019，22（9）：925-929.
[12]	孙岩，林欣.地佐辛联合小剂量右美托咪定辅助全身麻醉用于鼻内窥镜手术的临床观察[J].广东医学，2018，39（1）：34-36.
[13]	巫瑞珠.小儿全身麻醉后苏醒期躁动的原因分析及护理[J].当代医学，2019，25（1）：181-182.
[14]	甘建辉，涂青，何双亮，等.氢溴酸依他佐辛对胸腔镜手术患者苏醒期躁动的影响[J].医药导报，2019，38（2）：217-220.
[15]	贺峰，刘宏飞.地佐辛静脉麻醉联合罗哌卡因局部浸润麻醉在腹腔镜结直肠癌根治术患者恢复期应激反应的影响[J].陕西医学杂志，2018，47（1）：20-22.
[16]	Kim N，Park JH，Lee JS，et al.Effects of intravenous fentanyl around the end of surgery on emergence agitation in children：Systematic review and meta-analysis[J].Paediatr Anaesth，2017，27（9）：885-892.
[17]	韩琪，李凤玲，陈冬凤.右美托咪定复合全身麻醉对腹腔镜疝气或阑尾手术患儿术中应激反应及术后疼痛程度的影响[J].广西医科大学学报，2019，36（9）：1475-1479.
[18]	殷钰涵，孙思炜，黄伟.地佐辛持续静脉泵注对ICU 高龄患者髋部手术后早期镇痛效果和谵妄发生的影响[J].广东医学，2018，39（1）：47-49.
[19]	容芳松，陈德艺.不同浓度地佐辛复合丙泊酚麻醉对无痛肠镜治疗患者苏醒质量的影响[J].广西医学，2019，41（17）：2191-2193.
[20]	王子恒，胡心仪，任诗齐，等.不同药物术毕前加强镇痛对老年患者全麻术后躁动的影响[J].实用临床医药杂志，2019，23（3）：52-56.
[21]	王芳.BIS 监测下不同剂量地佐辛应用于腹腔镜手术全身麻醉患者的效果观察[J].河北医学，2019，25（9）：1560-1564.
[22]	王玉佩，冷卫东，魏会霞.地佐辛与舒芬太尼预防小儿术后躁动的效果比较[J].山西医药杂志，2018，47（3）：328-331.