60例小儿先天性心脏病介入治疗的麻醉体会

目的比较氯胺酮静脉麻醉和丙泊酚静脉麻醉两种麻醉方法用于小儿先心病介入治疗,探讨其麻醉效果和安全性。方法择期选择60例做介入治疗的先心病患儿,随机分成氯胺酮组（K组）和丙泊酚组（P组）,记录术中患儿体动,呼吸,心率,ECG,SpO2的变化,并随时调整麻醉深度,满足手术要求。结果两组患儿一般情况,手术时间和术中SpO2无显著性差异（P〉0.05）,两组患儿麻醉均能满足手术要求,术后清醒时间P组明显快于K组（P〈0.01）。两组相比,P组患儿术中安静,经过平稳,可较好的耐受手术,且呼吸循环影响轻微,诱导及苏醒迅速,无明显不良反应及并发症。结论相对于过去传统的氯胺酮麻醉,丙泊酚麻醉在小儿先心病的介入治疗中更理想。

60 cases of children with congenital heart disease interventional therapy Anesthesia

Objective To compare intravenous anesthesia ketamine and propofol intravenous anesthesia method can be applied to two kinds of narcotic interventional treatment of congenital heart disease in children, to explore its efficacy and safety of anesthesia. Methods 60 cases of selective choice to do interventional therapy in children with congenital heart disease were randomly divided into ketamine group （K） and propofol group （P group）, recorded during children body moving, breathing, heart rate, ECG, SpO2 changes and adjust the depth of anesthesia at any time to meet the operation requirements. Results two groups of children with normal circumstances, surgical time and intraoperative SpO2 no significant difference （ P 〉 0.05 ） , two groups of children are able to meet the surgical anesthesia, after deoxidization P group was higher than K group （P 〈 0. 01 ）. Compared to the two groups, P group of children during quiet, after a smooth, surgery may be better tolerated, and a negligible effect on respiration and circulation, induction and wake up quickly and no obvious side effects and complications. Conclusion Compared to the past traditions of ketamine anesthesia, propofol anesthesia in children with congenital heart disease in the interventional treatment better.