七氟烷联合氯胺酮复合麻醉用于小儿腹股沟斜疝手术的效果及安全性分析

发布时间：2018-05-18 03:03

本文选题：七氟烷 + 氯胺酮　；参考：《中国现代药物应用》2016年15期

【摘要】：目的探究七氟烷联合氯胺酮复合麻醉用于小儿腹股沟斜疝手术的效果及安全性。方法 92例行腹股沟斜疝手术小儿患者,依据用药方法分为单一组与联合组,各46例。单一组应用氯胺酮静脉麻醉,联合组应用七氟烷与氯胺酮复合麻醉。比较两组患儿氯胺酮用量、术后苏醒、清醒时间及不良反应发生率。结果单一组氯胺酮用量为(92.3±37.2)mg,术后苏醒时间为(34.9±8.2)min,术后清醒时间为(59.6±13.2)min;联合组氯胺酮用量为(59.1±21.5)mg,术后苏醒时间为(22.3±4.5)min,术后清醒时间为(29.8±6.4)min。比较差异具有统计学意义(P0.05)。单一组患儿不良反应发生率高于联合组,比较差异具有统计学意义(P0.05)。结论在小儿腹股沟斜疝手术中应用七氟烷与氯胺酮复合麻醉可降低氯胺酮用量及不良反应发生率,且患者术后苏醒较快,在临床研究中值得推广应用。
[Abstract]:Objective to explore the effect and safety of seven fluorane combined with ketamine combined anesthesia in children's inguinal hernia operation. Methods 92 children with indirect inguinal hernia were divided into a single group and the combined group, 46 cases in each group. A single group of ketamine intravenous anesthesia was used in a single group. The combined group was compared with the combined group of seven fluorothane and ketamine. The dosage of ketamine, awakening, waking time and adverse reaction occurred in the two groups. Results the dose of ketamine was (92.3 + 37.2) Mg, the recovery time was (34.9 + 8.2) min after operation, and the waking time was (59.6 + 13.2) min after operation, and the dosage of ketamine in the combined group was (59.1 + 21.5) Mg and the recovery time was (22.3 + 4.5) min after operation, and the waking time after operation was ( The difference between 29.8 + 6.4) min. was statistically significant (P0.05). The incidence of adverse reactions in the single group was higher than that of the combined group, and the difference was statistically significant (P0.05). Conclusion the combined anesthesia of seven fluorane and ketamine in the operation of inguinal hernia in children could reduce the dosage of chloramine ketone and the incidence of adverse reactions. Quickly, it is worth popularizing in clinical research.
【作者单位】：河南省许昌市人民医院麻醉科;
【分类号】：R726.1

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