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目的 :利用硫酸镁可以清除或减弱氯胺酮的心血管反应和苏醒期精神症状的特性 ,在妇产科手术中应用氯胺酮复合硫酸镁静脉麻醉 ,扩大氯胺酮在临床中的应用范围 ,提高氯胺酮的麻醉质量 ,并探讨一种新的实用安全的静脉麻醉方法。方法 :实验组使用氯胺酮复合硫酸镁静脉麻醉 ;对照组使用芬太尼静吸复合麻醉。比较两组的应用范围、麻醉效果、意外和并发症发生率、麻醉费用等方面。结果 :两组的应用范围、麻醉效果、意外和并发症发生率等基本相近 ,但实验组的麻醉费用显著低于对照组 ,而且操作简单易行。结论 :氯胺酮复合硫酸镁静脉麻醉简单易行、相对安全、经济实用。值得进一步研究和推广应用。
OBJECTIVE: The use of magnesium sulfate can clear or weaken the cardiovascular response of ketamine and the characteristics of awakening psychiatric symptoms. In the obstetrics and gynecology surgery, ketamine compound magnesium sulfate intravenous anesthesia is used to expand the range of ketamine in clinical application and improve the anesthetic quality of ketamine , And explore a new practical and safe method of intravenous anesthesia. Methods: The experimental group was treated with ketamine combined with magnesium sulfate intravenously and the control group with fentanyl combined inhalation anesthesia. The application scope, anesthesia effect, accidents and complication rates, anesthesia cost and so on were compared between the two groups. Results: The application range, anesthesia effect, accident and complication rate were similar in both groups, but the cost of anesthesia in the experimental group was significantly lower than that in the control group, and the operation was simple and easy. Conclusion: Ketamine magnesium sulfate intravenous anesthesia is simple, relatively safe, economical and practical. Worth further study and promote the application.