论文部分内容阅读
目的观察亚麻醉剂量氯胺酮-芬太尼对小儿区域麻醉的效果。方法 60例接受手术治疗患儿,以随机数字表法分为对照组和研究组,各30例。对照组给予氯胺酮麻醉,研究组给予亚麻醉剂量氯胺酮复合芬太尼麻醉,对比两组麻醉效果。结果研究组的氯胺酮追加次数(1.4±0.2)次、用量(40.4±12.8)mg少于对照组的(3.6±0.3)次、(80.6±12.1)mg,麻醉唤醒时间(8.4±2.7)min短于对照组的(51.1±4.8)min,躁动、呼吸不畅、精神异常发生率低于对照组,差异均具有统计学意义(P<0.05)。研究组的心率、平均动脉压、呼吸频率低于对照组,差异均具有统计学意义(P<0.05)。结论对于小儿区域麻醉,亚麻醉剂量氯胺酮复合芬太尼麻醉效果及安全性更好,应予推广。
Objective To observe the effect of sub-anesthetic ketamine-fentanyl on pediatric regional anesthesia. Methods Sixty children undergoing surgery were randomly divided into control group and study group with 30 cases in each group. The control group was given ketamine anesthesia, and the study group was given sub-anesthetic ketamine combined with fentanyl anesthesia. The anesthetic effect was compared between the two groups. Results Compared with control group, the dosage of ketamine (1.4 ± 0.2) and the dosage of (40.4 ± 12.8) mg were less than that of the control group (3.6 ± 0.3) and (80.6 ± 12.1) mg and In the control group (51.1 ± 4.8) min, agitation, poor breathing and mental abnormalities were lower than the control group, the difference was statistically significant (P <0.05). The heart rate, mean arterial pressure and respiratory rate in the study group were lower than those in the control group, with statistical significance (P <0.05). Conclusions For pediatric regional anesthesia, the anesthetic effect and safety of narcotic ketamine combined with fentanyl are better and should be promoted.