【摘 要】目的：观察咪达唑仑术前滴鼻复合地佐辛对小儿七氟醚麻醉苏醒期躁动的影响。方法：选择我院择期行扁桃体切除术的患儿60例，随机分为咪达唑仑组(M组)、对照组(C组)。术前30min，M组经鼻滴入咪达唑仑0.2mg/kg，C组经鼻滴入生理盐水0.04ml/kg，两组患儿手术结束前15min静脉注射0.1mg/kg的地佐辛，常规麻醉诱导并以七氟醚和瑞芬太尼维持麻醉。观察和记录术后躁动评分、苏醒和拔管时间，不良反应发生率。结果：M组患儿在拔管后5min(T2)、拔管后10min(T3)、拔管后20min(T4)、拔管后30min(T5)、拔管后1h(T6)的躁动评分明显低于C组，差异有统计学意义(P0.05)。结论：咪达唑仑滴鼻复合地佐辛可有效预防小儿麻醉苏醒期躁动，不延长苏醒和拔管时间，且不增加术后不良事件的发生。

 【关键词】：咪达唑仑；滴鼻；地佐辛；苏醒期躁动；小儿

 【Abstract】 Objective To investigate effects of intranasal midazolam combined with dezocine on emergence agitation after anesthesia in children. Methods Sixty children undergoing elective adenotonsillectomy surgery were randomly allocated into two grouPs： the midazolam grouP (grouP M) and the control grouP (grouP C). Thirty minutes before the surgery ...... 第 1 2 页 下一页
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