论文部分内容阅读
目的为了探讨氯胺酮静脉复合全身麻醉并用硬膜外腔阻滞对小儿麻醉苏醒的影响。方法择期腹部手术患儿60例,随机分为两组,A组为氯胺酮静脉复合麻醉组,B组为氯胺酮静脉复合全身麻醉并用硬膜外腔阻滞组,观察两组心率、血压及血氧饱和度的变化,术后根据患儿的吞咽反射,肢体活动以及应答反应观察麻醉苏醒的情况,并记录氯胺酮及异丙酚的总用量。结果B组患儿出现吞咽、出现手动、有应答反应的时间均明显短于A组(P<0.05)。结论氯胺酮静脉复合全身麻醉并用硬膜外腔阻滞可减少氯胺酮和异丙酚的用量,缩短麻醉的苏醒时间。
Objective To investigate the effects of ketamine intravenous combined general anesthesia and epidural block on anesthesia recovery in children. Methods Sixty children with elective abdominal surgery were randomly divided into two groups: group A was ketamine intravenous anesthesia; group B was ketamine intravenous combined general anesthesia with epidural block; and heart rate, blood pressure and blood oxygen Saturation changes, postoperative anesthesia recovery according to the swallowing reflexes, physical activity and response response in children, and record the total amount of ketamine and propofol. Results The children in group B swallowed and appeared to have manual reaction. Response time was significantly shorter in group B than in group A (P <0.05). Conclusion Ketamine intravenous combined with general anesthesia and epidural block can reduce the dosage of ketamine and propofol, shorten the recovery time of anesthesia.