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目的观察丙泊酚在小儿静脉麻醉维持中的优点。方法选用ASAⅠ～Ⅱ级,择期手术的患儿32例,手术时间30～60min。随机分成两组。A组:16例采用丙泊酚复合芬太尼术中维持;B组:16例采用氯胺酮复合芬太尼术中维持。观察项目:①术中患儿有无体动、心率增快;②术后苏醒时间:③术后有无谵妄发生。结果A、B两组均有患儿术中出现体动、心率增快,差异无统计学意义;术后苏醒时间A组明显短于B组(P<0·05);术后A组无谵妄发生,B组7例有谵妄发生,差异有统计学意义。结论丙泊酚在小儿静脉麻醉维持7中与氯胺酮相比术后苏醒时间短且无谵妄发生。
Objective To observe the advantages of propofol in maintaining pediatric intravenous anesthesia. Methods ASA Ⅰ ~ Ⅱ grade, 32 cases of children under elective surgery, operation time 30 ~ 60min. Randomly divided into two groups. Group A: 16 patients were treated with propofol combined with fentanyl intraoperative; Group B: 16 patients were treated with ketamine combined with fentanyl intraoperatively. Observation items: ① intraoperative children with or without physical activity, heart rate increased; ② postoperative wake time: ③ postoperative delirium occurred. Results There was no significant difference in body movement and heart rate between the two groups (A and B), and the difference was not statistically significant. The recovery time in group A was significantly shorter than that in group B (P <0.05) Delirium occurred, 7 cases of group B had delirium, the difference was statistically significant. Conclusion Propofol in pediatric intravenous anesthesia maintenance 7 compared with ketamine recovery time is short and no delirium.