本文選題：小劑量的氯胺酮　切入點(diǎn)：芬太尼　出處：《當(dāng)代醫(yī)藥論叢》2016年04期 　論文類型：期刊論文

【摘要】：目的 :探討用小劑量的氯胺酮-芬太尼對進(jìn)行氯胺酮麻醉的患兒實施輔助麻醉的臨床效果。方法 :對2014年1月至2015年8月期間在我院進(jìn)行腹部手術(shù)并接受氯胺酮麻醉的86例患兒的臨床資料進(jìn)行回顧性研究。我們將這86例患兒隨機(jī)分為輔助組和常規(guī)組,每組各有43例患兒。在這兩組患兒進(jìn)行腹部手術(shù)并接受氯胺酮麻醉期間,我院使用小劑量的氯胺酮-芬太尼對輔助組患兒進(jìn)行輔助麻醉,對常規(guī)組患兒未進(jìn)行輔助麻醉。麻醉結(jié)束后,比較兩組患兒手術(shù)的時間、術(shù)畢至蘇醒的時間、術(shù)中不良反應(yīng)的發(fā)生率、接受麻醉后的平均動脈壓、心率和呼吸頻率。結(jié)果 :輔助組患兒手術(shù)的時間和術(shù)畢至蘇醒的時間均明顯短于常規(guī)組患兒,二者相比差異具有顯著性(P0.05)。輔助組患兒術(shù)中不良反應(yīng)的發(fā)生率明顯低于常規(guī)組患兒,二者相比差異具有顯著性(P0.05)。輔助組患兒接受麻醉后的平均動脈壓、心率和呼吸頻率均明顯低于常規(guī)組患兒,二者相比差異具有顯著性(P0.05)。結(jié)論 :用小劑量的氯胺酮-芬太尼對進(jìn)行氯胺酮麻醉的患兒實施輔助麻醉的臨床效果確切,可有效地縮短其手術(shù)的時間和術(shù)畢至蘇醒的時間,降低其麻醉后的平均動脈壓、心率、呼吸頻率及術(shù)中不良反應(yīng)的發(fā)生率。
[Abstract]:Objective: to investigate the clinical effect of small dose ketamine fentanyl on children undergoing ketamine anesthesia. Methods: from January 2014 to August 2015, we performed abdominal surgery and received chlorine in our hospital. The clinical data of 86 children with amine-ketone anesthesia were retrospectively studied. The 86 children were randomly divided into auxiliary group and routine group. There were 43 children in each group. During abdominal surgery and ketamine anesthesia, our hospital used small doses of ketamine-fentanyl to assist the children in the auxiliary group. After anesthesia, the time of operation, the time from the end of operation to recovery, the incidence of adverse reactions, the mean arterial pressure after anesthesia were compared between the two groups. Results: the time of operation and the time of recovery from operation to recovery in the auxiliary group were significantly shorter than those in the routine group. The incidence of intraoperative adverse reactions in the auxiliary group was significantly lower than that in the routine group, and there was a significant difference between the two groups (P 0.05). The mean arterial pressure after anesthesia in the auxiliary group was significantly lower than that in the control group. The heart rate and respiratory frequency were significantly lower than those in the routine group, and the difference was significant (P 0.05). Conclusion: the clinical effect of small dose ketamine fentanyl on children undergoing ketamine anesthesia is effective. It can effectively shorten the operation time and the time from the end of operation to waking up, and reduce the average arterial pressure, heart rate, respiratory frequency and the incidence of adverse reaction after anesthesia.
【作者單位】： 什邡仁濟(jì)醫(yī)院麻醉科;
【分類號】：R726.1

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