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小儿应用麻醉前用药目的是镇静,消除焦虑,减少精神伤害,使麻醉诱导平稳。咪唑安定肌注可引起疼痛不适,口服和直肠内给药效果出现较慢、苏醒延迟。本文研究了经鼻给予咪唑安定后的镇静效果。拟行手术幼儿45例,ASAⅠ~Ⅱ级,年龄9月~6岁,体重25kg以下,分为3组,每组15例。A组:入手术室后鼻内给予咪唑安定0.2mg/kg;B组:鼻内给予咪唑安定0.3mg/kg;C组:应用标准麻醉前用药(阿托品或东莨菪硷0.01mg/kg,羟嗪1mg/kg)。镇静程度应用Wilton评分法(1~5分)评价。观察麻醉诱导前镇静程度、诱导时对吸入麻醉药有无抵抗、呼吸及术毕清醒状
The purpose of pediatric anesthesia medication before sedation, eliminate anxiety and reduce mental injury, anesthesia induced smooth. Midazolam intramuscular injection can cause pain discomfort, oral and rectal administration appears slower, wake up delay. This article studies the sedative effect of nasal administration of midazolam. Forty-five children undergoing planned surgery were ASA Ⅰ ~ Ⅱ, aged from 9 months to 6 years old and weighing less than 25 kg. They were divided into 3 groups of 15 in each group. Group A: Midazolam 0.2mg / kg was administered intranasally after operation room; Group B: midazolam 0.3mg / kg intranasally; Group C: Anesthesia was given before anesthesia (atropine or scopolamine 0.01mg / kg, Triazine 1 mg / kg). The degree of sedation was evaluated using the Wilton score (1 to 5). Observe the degree of sedation before induction of anesthesia, induction of inhalation anesthetics with or without respiration, respiration and surgery clear