用小剂量氯胺酮-芬太尼对行氯胺酮麻醉的患儿实施辅助麻醉的效果分析

发布时间：2018-03-09 23:07

本文选题：小剂量的氯胺酮　切入点：芬太尼　出处：《当代医药论丛》2016年04期 　论文类型：期刊论文

【摘要】：目的 :探讨用小剂量的氯胺酮-芬太尼对进行氯胺酮麻醉的患儿实施辅助麻醉的临床效果。方法 :对2014年1月至2015年8月期间在我院进行腹部手术并接受氯胺酮麻醉的86例患儿的临床资料进行回顾性研究。我们将这86例患儿随机分为辅助组和常规组,每组各有43例患儿。在这两组患儿进行腹部手术并接受氯胺酮麻醉期间,我院使用小剂量的氯胺酮-芬太尼对辅助组患儿进行辅助麻醉,对常规组患儿未进行辅助麻醉。麻醉结束后,比较两组患儿手术的时间、术毕至苏醒的时间、术中不良反应的发生率、接受麻醉后的平均动脉压、心率和呼吸频率。结果 :辅助组患儿手术的时间和术毕至苏醒的时间均明显短于常规组患儿,二者相比差异具有显著性(P0.05)。辅助组患儿术中不良反应的发生率明显低于常规组患儿,二者相比差异具有显著性(P0.05)。辅助组患儿接受麻醉后的平均动脉压、心率和呼吸频率均明显低于常规组患儿,二者相比差异具有显著性(P0.05)。结论 :用小剂量的氯胺酮-芬太尼对进行氯胺酮麻醉的患儿实施辅助麻醉的临床效果确切,可有效地缩短其手术的时间和术毕至苏醒的时间,降低其麻醉后的平均动脉压、心率、呼吸频率及术中不良反应的发生率。
[Abstract]:Objective: to investigate the clinical effect of small dose ketamine fentanyl on children undergoing ketamine anesthesia. Methods: from January 2014 to August 2015, we performed abdominal surgery and received chlorine in our hospital. The clinical data of 86 children with amine-ketone anesthesia were retrospectively studied. The 86 children were randomly divided into auxiliary group and routine group. There were 43 children in each group. During abdominal surgery and ketamine anesthesia, our hospital used small doses of ketamine-fentanyl to assist the children in the auxiliary group. After anesthesia, the time of operation, the time from the end of operation to recovery, the incidence of adverse reactions, the mean arterial pressure after anesthesia were compared between the two groups. Results: the time of operation and the time of recovery from operation to recovery in the auxiliary group were significantly shorter than those in the routine group. The incidence of intraoperative adverse reactions in the auxiliary group was significantly lower than that in the routine group, and there was a significant difference between the two groups (P 0.05). The mean arterial pressure after anesthesia in the auxiliary group was significantly lower than that in the control group. The heart rate and respiratory frequency were significantly lower than those in the routine group, and the difference was significant (P 0.05). Conclusion: the clinical effect of small dose ketamine fentanyl on children undergoing ketamine anesthesia is effective. It can effectively shorten the operation time and the time from the end of operation to waking up, and reduce the average arterial pressure, heart rate, respiratory frequency and the incidence of adverse reaction after anesthesia.
【作者单位】：什邡仁济医院麻醉科;
【分类号】：R726.1

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