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目的:探析小儿区域麻醉中芬太尼和氯胺酮的应用价值。方法:选取我院收治的72例手术患儿,依据随机双盲原则分为对照组和观察组。对照组36例患儿给予氯胺酮进行麻醉,观察组36例患儿,给予氯胺酮联合芬太尼进行麻醉。对两组患儿的各项临床指标变化进行比较。结果:观察组患儿氯胺酮用量明显少于对照组,术后唤醒时间显著短于对照组,心率、呼吸、血压、血氧饱和度指标显著优于对照组,P<0.05。结论:在小儿区域麻醉中给予氯胺酮联合芬太尼进行麻醉能取得良好的麻醉效果,可有效降低麻醉药物的用量,有效缩短麻醉后患儿的唤醒时间,值得临床推广应用。
Objective: To explore the value of fentanyl and ketamine in pediatric regional anesthesia. Methods: Seventy-two children undergoing surgery in our hospital were selected and divided into control group and observation group according to the principle of random double-blind. Thirty-six children in the control group were anesthetized with ketamine, and 36 children in the observation group were given ketamine and fentanyl for anesthesia. The clinical changes of two groups of children were compared. Results: The amount of ketamine in the observation group was significantly less than that of the control group, and the wake time after operation was significantly shorter than that of the control group. The indexes of heart rate, respiration, blood pressure and oxygen saturation were significantly better than those of the control group (P <0.05). Conclusion: Anesthesia with ketamine and fentanyl in pediatric anesthesia can achieve good anesthetic effects, which can effectively reduce the dosage of anesthetic drugs and shorten the wake time of anesthesia in children, which is worthy of clinical application.