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腰硬联合加氯胺酮麻醉在小儿手术中的应用(1)
http://www.100md.com 2012年8月15日 钟帝钦


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     【摘要】 目的:观察氯胺酮辅助腰-硬联合麻醉用于小儿手术的临床疗效。方法:选择择期手术患儿93例,随机分为观察组50例(腰-硬联合加氯胺酮麻醉组)和对照组43例(氯胺酮静脉复合麻醉)。观察两组患儿麻醉前后平均动脉压(MAP)、心率(HR)、脉搏氧饱和度(SpO2)的变化及氯胺酮药物剂量、术后清醒时间及不良反应的发生情况。结果:两组MAP、HR、SpO2比较差异无统计学意义,观察组氯胺酮用药剂量、术后清醒时间明显低于对照组(P<0.05),不良反应发生率为18.0%(9/50),与对照组比较差异有统计学意义(P<0.01)。结论:腰硬联合加氯胺酮麻醉用于小儿手术效果满意,安全性高,是小儿手术的理想麻醉方法。

    【关键词】 腰硬联合; 氯胺酮; 小儿手术

    The Clinical Application of Ketamine Combined with Spinal-epidural Anesthesia Used for Pediatric Operation/ZHONG Di-qin.//Medical Innovation of China,2012,9(23):043-044

    【Abstract】 Objective:To observe the clinical effects of Ketamine aided combined spinal-epidural anesthesia in pediatric operations.Method:93 pediatric surgery were randomly allocated to observation group(Ketamine aided Combined spinal-epidural anesthesia,n=50) and control group(Ketamine intravenous combined anesthesia,n=43).The variation of MAP,HR,SpO2 and the total dosage of ketamine,the wake time,the adverse reactions were observed.Result:There were no significant difference of MAP,HR,SpO2 between two groups.The total dosage of ketamine and the postoperative awake time in observation group were remarkably lower than those in control group(P<0.05),the adverse reactions incidence was 18.0%(9/50),those were significantly lower than control group.Conclusion:Ketamine aided Combined spinal-epidural anesthesia was safe,the effect of anesthetic was better,it was the ideal anesthetic for pediatric surgery.

    【Key words】 Combined spinal-epidural anesthesia; Ketamine; Pediatric operation

    First-author’s address: Pengpai Hospital of Haifeng,Haifeng 516400,China

    doi:10.3969/j.issn.1674-4985.2012.23.026

    腰-硬联合麻醉目前广泛应用于成人腹部或以下部位手术中,但由于小儿耐受力差 ......

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