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目的:探究亚麻醉剂量的氯胺酮联合芬太尼辅助治疗小儿麻醉的临床效果。方法:选2013年8月-2014年12月来我院进行手术治疗的64例小儿患者为研究对象,将其随机分为对照组和观察组,每组32例患者。对照组采用氯胺酮进行麻醉,观察组采用亚麻醉剂量的氯胺酮联合芬太尼进行治疗,对治疗效果进行比较分析。结果:在本次研究中,观察组患儿的麻醉起效时间、手术时间及麻醉唤醒时间均少于对照组,两组比较结果有明显的差异,具有统计学意义(P<0.05)。观察组患者社会活动、心理情绪及躯体生理状态评分均高于对照组,比较结果有明显的差异,具有统计学意义(p<0.05)。结论:亚麻醉剂量的氯胺酮联合芬太尼在辅助小儿麻醉区域的麻醉效果明显,术后唤醒时间少,不良反应少,值得临床推广应用。
Objective: To investigate the clinical effect of sub-anesthetic ketamine and fentanyl adjuvant pediatric anesthesia. METHODS: Sixty-four pediatric patients who underwent surgery in our hospital from August 2013 to December 2014 were selected as study subjects and randomly divided into control group and observation group, 32 patients in each group. In the control group, ketamine was used for anesthesia. The observation group was treated with sub-anesthetic ketamine and fentanyl, and the therapeutic effects were compared. Results: In this study, the onset time of anesthesia, operation time and anesthesia wake time in the observation group were less than those in the control group. There was significant difference between the two groups (P <0.05). The scores of social activities, psychological emotions and physical status in observation group were higher than those in control group, with significant differences (p <0.05). Conclusion: The narcotic dose of ketamine combined with fentanyl has obvious anesthetic effects in the auxiliary pediatric anesthesia area, less postoperative wake-up time and fewer adverse reactions, which is worthy of clinical application.