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目的分析氯胺酮复合丙泊酚泵注用于小儿短小手术麻醉临床效果。方法将我院68例进行短小手术的小儿患者分为对照组和观察组,对照组使用氯胺酮麻醉,观察组使用氯胺酮复合丙泊酚,比较两组患者使用麻醉后的心率(HR)、平均动脉(MAP)、血氧饱和度(SpO2)、呼吸频率(RR)、苏醒时间以及副作用和并发症的发生情况。结果两组在手术时间、年龄、体重等方面没有明显差异的情况下,观察组和对照组在平均动脉(MAP)、血氧饱和度(SpO2)和上无明显的差异,对照组在心率(HR)和呼吸频率(RR)变化幅度和程度都要比观察组大,苏醒时间比观察组长,并发症和副作用比观察组严重,皆具有明显差异性(P<0.05)。结论氯胺酮复合丙泊酚麻醉对小儿短小手术具有对心血管影响小,并发症少,苏醒时间少等特点,值得临床推广。
Objective To analyze the clinical effect of ketamine combined propofol pump injection in pediatric short-term anesthesia. Methods 68 cases of short-term surgical pediatric patients in our hospital were divided into control group and observation group. The control group was given ketamine anesthesia. The observation group was given ketamine combined with propofol. The two groups were compared using heart rate (HR), average artery (MAP), oxygen saturation (SpO2), respiratory rate (RR), recovery time and the incidence of complications and complications. Results There was no significant difference in average arterial pressure (MAP) and oxygen saturation (SpO2) in observation group and control group between the two groups in terms of operation time, age, body weight, HR) and respiration rate (RR) were all higher than those in the observation group. The recovery time was longer than that of the observation group. The complications and side effects were more serious than those in the observation group (P <0.05). Conclusions Ketamine combined propofol anesthesia has the advantages of less cardiovascular impact, fewer complications and less awake time in pediatric short operation, which is worthy of clinical promotion.