氯胺酮联合丙泊酚在小儿麻醉中的疗效观察(1)
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[摘要] 目的：探讨氯胺酮联合丙泊酚在小儿麻醉中的疗效。方法：将本院收治的行手术治疗的86例患儿分为观察组与治疗组，每组各43例，观察组给予氯胺酮联合丙泊酚进行麻醉，对照组仅给予氯胺酮进行麻醉，观察两组患儿的各项生命体征的变化，及恶心呕吐、麻醉苏醒时间、苏醒期躁动的发生情况。结果：手术开始即刻，手术开始后5、10 min对照组的HR、SBP、DBP与术前比较均有差异，而观察组仅手术开始即刻时的SBP与术前有差异。两组患儿手术开始即刻时的DBP比较，差异有统计学意义，P<0.05；手术5、10 min时的HR、SBP、DBP比较差异有统计学意义，P<0.05。两组患儿的麻醉苏醒时间、苏醒躁动情况比较，差异有统计学意义，P<0.05。结论：氯胺酮联合丙泊酚应用于小儿麻醉，术后苏醒快，生命体征平稳，值得推广应用。
[关键词] 氯胺酮；丙泊酚；小儿麻醉；疗效观察
[中图分类号] R614 [文献标识码] A [文章编号] 1674-4721(2012)01(b)-082-02
Curative effects of ketamine joint propofol in pediatric anesthesia
LIU Li
Anesthesiology Department, the Frist People′s Hospital of Huoqiu County in Lu′an City, Anhui Province, Huoqiu 237400
[Abstract] Objective: To explore the effect of ketamine joint propofol in pediatric anesthesia. Methods: Retrospectively line of surgical treatment of 86 cases in our hospital were divided into the treatment group and the observation group, each group of 43 cases, the observation group gave ketamine joint propofol anesthesia, control group only gave the ketamine anesthesia. Observed the two groups of children all vital signs of change, and nausea vomiting, anesthesia time, came round of restless the occurrence. Results: The operation began immediately after the start of the operation, 5, 10 min control group of HR, SBP and DBP of preoperative all had differences, and the observation group only when the surgery has immediate SBP and preoperative had difference. Two groups of children start of operation immediately DBP comparison, the difference was statistically significant, P<0.05; Surgery 5, 10 min of HR, SBP and DBP comparative differences had statistical significance, P<0.05. Two groups of children with time, waking waking anesthesia was restless, the difference was statistically significant, P<0.05. Conclusion: Ketamine joint propofol in pediatric anesthesia, postoperative come quickly, the vital signs smoothly, is worth to popularization.
[Key words] Ketamine; Propofol; Pediatric anesthesia; Curative effects
小儿麻醉近年来受到广泛关注，由于小儿解剖、生理的特殊性，不能将成人的麻醉方法、药物使用剂量及器械设备缩小后用于小儿[1-2]，制定一套适合小儿的麻醉方法尤为重要。氯胺酮是常用于小儿麻醉中的一种麻醉药物，为找到一种快捷、麻醉效果好和苏醒快的麻醉方法 ......
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