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目的探究和讨论应用不同的麻醉方法在小儿胸腔镜下心脏手术中的不同临床效果,并分析其应用价值。方法 90例小儿先天性心脏病患儿,按信封法随机分为对照组及实验组,每组45例。对照组患儿静脉注射0.1 mg/kg咪达唑仑,1μg/kg舒芬太尼,0.3 mg/kg的依托咪酯乳剂,0.9 mg/kg的罗库溴铵,麻醉药物起作用后开始进行手术。实验组患儿在对照组患儿的基础上再给予盐酸右美托咪定注射液1μg/(kg·h)的负荷量维持输注。比较两组患儿的术后躁动情况以及清醒过程中视觉模拟评分法(VAS)评分。结果实验组患儿的术后躁动情况显著低于对照组(P<0.05);实验组患儿的恢复期过程中的VAS评分显著高于对照组(P<0.05)。结论应用盐酸右美托咪定注射液在小儿进行胸腔镜下心脏手术可以显著降低患儿的躁动情况,具有显著的临床效果,提高安全性,值得在临床上推广。
Objective To explore and discuss the different clinical effects of different anesthesia methods in pediatric thoracoscopic heart surgery and its application value. Methods 90 cases of children with congenital heart disease, according to the envelope method were randomly divided into control group and experimental group, 45 cases in each group. Control children received intravenous midazolam 0.1 mg / kg, sufentanil 1 μg / kg, etomidate 0.3 mg / kg, and rocuronium 0.9 mg / kg intravenously surgery. The experimental group of children in the control group based on the child and then given dexmedetomidine hydrochloride injection 1μg / (kg · h) load to maintain infusion. Postoperative agitation and visual analogue scale (VAS) scores were compared between the two groups. Results The postoperative agitation of experimental group was significantly lower than that of control group (P <0.05). The VAS score of convalescence of experimental group was significantly higher than that of control group (P <0.05). Conclusion Dexmedetomidine hydrochloride injection in children undergoing thoracoscopic cardiac surgery can significantly reduce the restlessness in children with significant clinical effects and improve safety, it is worth to be clinically promoted.