Xu Hao, Mei Xiao-Peng, Xu Li-Xian
Institution of Basic Medical Science, Xi'an Medical University, Xi'an, China.
Department of Anesthesiology, the First Affiliated Hospital of Xi'an JiaoTong University, Xi'an China.
J Dent Anesth Pain Med. 2017 Mar;17(1):13-20. doi: 10.17245/jdapm.2017.17.1.13. Epub 2017 Mar 27.
Cleft palate is one of the most common congenital malformations of the oral and maxillofacial region, with an incidence rate of around 0.1%. Early surgical repair is the only method for treatment of a cleft lip and palate. However, because of the use of inhalation anesthesia in children and the physiological characteristics of the cleft palate itself combined with the particularities of cleft palate surgery, the incidence rate of postoperative emergence agitation (EA) in cleft palate surgery is significantly higher than in other types of interventions. The exact mechanism of EA is still unclear. Although restlessness after general anesthesia in children with cleft palate is self-limiting, its effects should be considered by clinicians. In this paper, the related literature on restlessness after surgery involving general anesthesia in recent years is summarized. This paper focuses on induction factors as well as prevention and treatment of postoperative restlessness in children with cleft palate after general anesthesia. The corresponding countermeasures to guide clinical practice are also presented in this paper.
腭裂是口腔颌面部最常见的先天性畸形之一，发病率约为0.1%。早期手术修复是治疗唇腭裂的唯一方法。然而，由于儿童使用吸入麻醉以及腭裂本身的生理特征与腭裂手术的特殊性，腭裂手术术后苏醒期躁动（EA）的发生率明显高于其他类型的手术。EA的确切机制仍不清楚。虽然腭裂患儿全身麻醉后的躁动是自限性的，但临床医生仍应考虑其影响。本文总结了近年来有关腭裂患儿全身麻醉术后躁动的相关文献。本文重点关注腭裂患儿全身麻醉术后躁动的诱发因素以及预防和治疗。本文还提出了指导临床实践的相应对策。
