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七氟醚复合氯胺酮静脉麻醉在小儿斜疝手术中的应用
引用本文:郭卫平,田凯. 七氟醚复合氯胺酮静脉麻醉在小儿斜疝手术中的应用[J]. 临床和实验医学杂志, 2010, 9(7): 519-520
作者姓名:郭卫平  田凯
作者单位:1. 宜宾市第一人民医院麻醉科,四川,宜宾,644000;成都医学院附属宜宾医院,四川,宜宾,644000
2. 成都医学院附属宜宾医院,四川,宜宾,644000
摘    要:
目的观察七氟醚复合氯胺酮静脉麻醉在小儿斜疝修补手术中应用的安全性、可行性及优点。方法选择择期行斜疝修补手术的小儿患者80例,随机分成两组,A组采用七氟醚复合氯胺酮静脉麻醉,B组采用氯胺酮加咪达唑仑静脉麻醉。麻醉过程中监测呼吸循环相关参数,记录麻醉效果,不良反应,术后苏醒时间及氯胺酮用量。结果A组的氯胺酮用量明显少于B组(P〈0.05),术后苏醒时间,明显短于B组(P〈0.05),B组切皮时心率、平均动脉压上升较A组显著(P〈0.05),术后躁动等不良反应多于A组(P〈0.05)。结论七氟醚复合氯胺酮静脉麻醉用于小儿斜疝修补手术比氯胺酮加味达唑仑麻醉曼平稳.苏醒更快.不良反应更少.

关 键 词:七氟醚  氯胺酮  小儿麻醉

Application of sevoflurane combined with ketamine for intravenous anesthesia in children with oblique hernia surgery
GUO Wei-ping,TIAN Gai. Application of sevoflurane combined with ketamine for intravenous anesthesia in children with oblique hernia surgery[J]. Journal of Clinical and Experimental Medicine, 2010, 9(7): 519-520
Authors:GUO Wei-ping  TIAN Gai
Affiliation:GUO Wei-ping1,2,TIAN Gai2.1 Department of Anesthesiology,The First Hospital of Yibin,Yibin Sichuan 644000,China,2 The Hospital Affilieated of Chengdu Medical College Hospital
Abstract:
Objective o observe the feasibility,safety and advantages of sevoflurane combined with ketamine in intravenous anesthesia during operation of pediatric oblique hernia.Methods Eighty children who are pediatric oblique hernia patient and prepare to be operated were divided into two groups randomly:group A adopt sevoflurane combined with ketamine in intravenous anesthesia;group B adopt midazolam mixed with ketamine in intravenous anesthesia.And then monitoring the related parameter about respiratory and circul...
Keywords:Sevoflurane  Ketamine  Pediatric anesthesia  
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