氯胺酮异丙酚复合利多卡因用于小儿手术麻醉临床效果观察

发布时间：2018-03-23 07:07

本文选题：氯胺酮　切入点：异丙酚　出处：《中国卫生标准管理》2015年33期 　论文类型：期刊论文

【摘要】：目的观察氯胺酮异丙酚复合利多卡因对小儿手术麻醉的疗效状况,并对临床效果进行探讨分析。方法本文选择2010年4月~2015年4月医治的100例患儿进行前瞻性研究,利用随机分组的方式分为观察组与对照组,每组各50例患者,对照组给予单一的氯胺酮麻醉,观察组给予氯胺酮+异丙酚+利多卡因麻醉,对比两组患者的呼吸频率、收缩压、血氧饱和度、心率、清醒时间以及不良反应发生情况。结果对照组和观察组患者麻醉前后的呼吸频率、收缩压、血氧饱和度以及心率均不存在明显差异(P0.05),均未出现明显的应激反应。观察组患者的清醒时间为(10.51±3.27)min,明显短于对照组的(17.75±6.46)min(P0.05)。观察组患者的不良反应发生率为10%,明显短于对照组的28%(P0.05)。结论氯胺酮、异丙酚复合利多卡因应用于患儿手术过程中进行麻醉,其麻醉的效果比较理想,而且产生的不良反应很少。
[Abstract]:Objective to observe the curative effect of ketamine propofol combined with lidocaine on pediatric operation anesthesia and to analyze the clinical effect. Methods 100 children treated from April 2010 to April 2015 were studied prospectively. 50 patients in each group were divided into two groups randomly. The control group was given ketamine anesthesia, and the observation group was given ketamine propofol lidocaine anesthesia. The respiratory rate and systolic blood pressure of the two groups were compared. Blood oxygen saturation, heart rate, waking time and adverse reactions occurred. Results Respiratory frequency, systolic blood pressure of patients in control group and observation group before and after anesthesia, There was no significant difference in blood oxygen saturation and heart rate (P 0.05) and no obvious stress reaction. The waking time of the patients in the observation group was 10.51 卤3.27 min, which was significantly shorter than that in the control group (17.75 卤6.46 min, P 0.05). The incidence of adverse reactions in the observation group was 10 and significantly shorter than that in the control group. Conclusion Ketamine can be used in the control group. Propofol combined with lidocaine was used to anesthetize children during operation. The anesthetic effect of propofol combined with lidocaine was satisfactory and the adverse reactions were few.
【作者单位】：黑龙江省大兴安岭地区人民医院麻醉科;
【分类号】：R726.1

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