Study on the effect of nursing intervention combined with dexmedetomidine to prevent restlessness during recovery period in children with obstructive sleep apnea hypopnea syndrome

doi:10.19438/j.cjoms.2019.05.014

Abstract

Abstract: PURPOSE: To explore the effect of nursing intervention combined with dexmedetomidine on restlessness and recovery time of children with obstructive sleep apnea hypopnea syndrome(OSAHS) during recovery period. METHODS: One hundred and twenty OSAHS patients who underwent elective uvulopalatopharyngoplasty from Nov. 2016 to Nov. 2018 were selected as the study subjects. They were randomly divided into experiments' group and control group equally. Patients in the control group underwent general anesthesia, and patients in the experimental group were treated with dexmedetomidine and nursing on the basis of the treatment of the control group. HR and SpO₂ , intubation time, wake time, awakening period and adverse reactions in the two groups were compared when they entered the operating room (T0) and extract of tracheal intubation (T1) with SPSS 22.0 software package. RESULTS: There was no significant difference in HR and SpO₂ between the two groups (P>0.05) at T0. SpO₂was significantly lower than T0 at T1 in both groups(P<0.05); HR was significantly higher than T0 at T1(P<0.05) in the control group, there was no significant difference in HR between T0 and T1 in the experimental group (P>0.05). HR of the experimental group was significantly lower than that of the control group at T1 (P<0.05); there was no significant difference in SpO₂ between the two groups at T1 (P>0.05), and no significant difference in extubation time and recovery time between the two groups(P>0.05). The incidence of agitation in the experimental group was significantly lower than that in the control group (P<0.05). The incidence of adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05). CONCLUSIONS: Nursing intervention combined with dexmedetomidine is important for prevention and treatment of restlessness during recovery time in children with OSAHS, which can improve the safety of general anesthesia.

Key words: Dexmedetomidine, Nursing intervention, Restlessness during recovery period, Obstructive sleep apnea hypopnea syndrome

CLC Number:

R782.05

FEI Juan, YAN Jia, SHI Zhen. Study on the effect of nursing intervention combined with dexmedetomidine to prevent restlessness during recovery period in children with obstructive sleep apnea hypopnea syndrome[J]. China Journal of Oral and Maxillofacial Surgery, 2019, 17(5): 457-461.

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