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亚麻醉剂量氯胺酮-芬太尼辅助小儿区域麻醉疗效观察
引用本文:李芬.亚麻醉剂量氯胺酮-芬太尼辅助小儿区域麻醉疗效观察[J].中国医药导刊,2011,13(9):1556-1557.
作者姓名:李芬
作者单位:陕西省榆林市第二医院麻醉科,榆林,719000
摘    要:目的:对亚麻醉剂量的氯胺酮联合芬太尼辅助小儿区域麻醉的临床效果进行现察。方法:随机抽取在2006年10月至2009年10月这三年时间里,在我院就诊的采用手术治疗的患儿病例140例,将其随机分为A、B两组,平均每组70例。A组患者采用氯胺酮进行麻醉;B组患者采用亚麻醉剂量的氯胺酮和芬太尼联合进行麻醉。对两组患儿的手术过程中相关指标和治疗前后的相关指标进行比较分析。结果:研究结果显示,B组患者在手术过程中的躁动现象、氯胺酮用量、苏醒时间都明显低于A组患者,有显著的统计学差异(P<0.05);该组患者在治疗前后的HR、MAP、SpO2值的改变幅度也都明显低于A组患儿,有显著的统计学差异(P<0.05)。结论:采用亚麻醉剂量氯胺酮-芬太尼辅助小儿区域麻醉的方法对接受手术的患儿进行麻醉,其效果较传统方法比较要理想得多,不会引起患儿生理指标的较大波动,是一种安全有效,可信度高的麻醉方法,值得在今后的临床工作用予以使用和推广。

关 键 词:亚麻醉剂量  氯胺酮  芬太尼  小儿  效果

Auxiliary Efficacy of a Sub-anesthetic Dose of Ketamine-Fentanyl on Children Regional Anesthesia
Li Fen.Auxiliary Efficacy of a Sub-anesthetic Dose of Ketamine-Fentanyl on Children Regional Anesthesia[J].Chinese Journal of Medicinal Guide,2011,13(9):1556-1557.
Authors:Li Fen
Institution:Li Fen (Anesthesia Department,The Second Hospital of Yulin,Yulin 719000,China)
Abstract:Objective:To observe the auxiliary clinical results of a sub-anesthetic dose of Ketamine-Featanyl on children regional anesthesia.Methods:140 children underwent operation in our hospital from October,2006 to October,2009 were randomized into A and B two groups,70 in each group.The children in Group A were anesthetized with Ketamine and the children in Group B were anesthetized with Ketamine and Fentanyl.The related indexes of the children in the two groups during the operation and the related indexes before and after the treatment were compared and analyzed.Results:The results showed that dysphoria,ketamine dosage and recovery time of Group B were obviously lower than that of Group A;the difference was statistically significant(P<0.05).The variation range of HR, MAP,SpO2 of Group B were also obviously lower than that of Group A;the difference was also statistically significant(P<0.05).Conclusion: Compared with the traditional anesthesia,the efficacy sub-anesthetic dose of Ketamine-Fentanyl on children regional anesthesia is much better.In addition,this method would hot cause large fluctuation of physical signs.The sub-anesthetic dose of ketamine-fentanyl on children regional anesthesia is safe,effective,reliable and worth utilizing and popularizing in clinics.
Keywords:Sub-anesthetic dose  Ketamine  Fentanyl  Children  Effect
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