African health sciences · 2025
Analysis of the use and advantages of depth of anaesthesia monitoring in children undergoing tonsillar adenoid surgery.
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Sun Tingting, Lin Hui
Аннотация
BACKGROUND: To investigate the application and analysis of the advantages of depth of anesthesia monitoring in children undergoing tonsillar adenoid surgery.
METHODOLOGY: Eighty tonsillar adenoid surgery patients were divided into a control group and an observation group. Observation group was given dexmedetomidine. Saline was given to the control group. Hemodynamics, perioperative indicators, stress reaction indicators, and adverse reactions were compared.
RESULTS: At t0, no statistically significant differences were found between the two groups for mean arterial pressure (MAP) (t =0.3789) or heart rater (HR) (t =0.0130). On t1, t2, t3 and t4, the mean arterial pressure (MAP) (tt1=4.5321, tt2=2.5818, tt3=5.0025, tt4=3.2068) and heart rater (HR) (tt1=6.64299, tt2=29.4580, tt3=15.5095, tt4=10.1461) were lower compared to the control group (P<0.05). Extubation time (t=49.9687) and respiratory recovery time (t=16.4542) of children in the observation group were shorter than those of the control group (t=20.1926), a statistical difference was found between the groups (P<0.05). Observation group adverse events were 0.44% lower than control group (x2=5.1647, P<0.05).
CONCLUSION: During tonsillar adenoid surgery, dexmedetomidine hydrochloride was used to anesthetize children. The dosage of anesthetic drugs was adjusted according to the depth of anesthesia monitored. Despite its small effect on hemodynamic indexes, it delayed extubation, reduced organism stress, and facilitated respiratory management.
METHODOLOGY: Eighty tonsillar adenoid surgery patients were divided into a control group and an observation group. Observation group was given dexmedetomidine. Saline was given to the control group. Hemodynamics, perioperative indicators, stress reaction indicators, and adverse reactions were compared.
RESULTS: At t0, no statistically significant differences were found between the two groups for mean arterial pressure (MAP) (t =0.3789) or heart rater (HR) (t =0.0130). On t1, t2, t3 and t4, the mean arterial pressure (MAP) (tt1=4.5321, tt2=2.5818, tt3=5.0025, tt4=3.2068) and heart rater (HR) (tt1=6.64299, tt2=29.4580, tt3=15.5095, tt4=10.1461) were lower compared to the control group (P<0.05). Extubation time (t=49.9687) and respiratory recovery time (t=16.4542) of children in the observation group were shorter than those of the control group (t=20.1926), a statistical difference was found between the groups (P<0.05). Observation group adverse events were 0.44% lower than control group (x2=5.1647, P<0.05).
CONCLUSION: During tonsillar adenoid surgery, dexmedetomidine hydrochloride was used to anesthetize children. The dosage of anesthetic drugs was adjusted according to the depth of anesthesia monitored. Despite its small effect on hemodynamic indexes, it delayed extubation, reduced organism stress, and facilitated respiratory management.