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4种联合用药对腭裂矫治术苏醒和呼吸影响的临床研究
引用本文:刘曼,张浒,乔飞,衡新华,罗用宇.4种联合用药对腭裂矫治术苏醒和呼吸影响的临床研究[J].昆明医学院学报,2007,28(4):68-72.
作者姓名:刘曼  张浒  乔飞  衡新华  罗用宇
作者单位:昆明医学院第一附属医院麻醉科,云南,昆明,650032
摘    要:目的对比观察4组麻醉维持用药患儿术后的苏醒时间、苏醒后再嗜睡率及术中氯胺酮总用量、拔除气管导管后的呼吸管理情况,提高麻醉安全性.方法对80例施行小儿腭裂修补术的患儿随机分组使用4种不同配伍的麻醉维持用药,A组(n=20例):用氯胺酮 咪唑安定,B组(n=20例):用芬太尼 氯胺酮,C组(n=20例):用异氟醚 氯胺酮,D组(n=20例):用氯胺酮 七氟醚.结果(1)苏醒时间以C、D组
关 键 词:腭裂修补术  麻醉用药  苏醒时间  再嗜睡  上呼吸道梗阻  麻醉安全
文章编号:1003-4706(2007)04-0068-05
修稿时间:2007-03-20

Clinical Study of the Revival and Respiratory Effects of Four Drug Combinations on Children with Palatorrphy
LIU Man,ZHANG Hu,QIAO Fei,HENG Xin-hua,LUO Yong-yu.Clinical Study of the Revival and Respiratory Effects of Four Drug Combinations on Children with Palatorrphy[J].Journal of Kunming Medical College,2007,28(4):68-72.
Authors:LIU Man  ZHANG Hu  QIAO Fei  HENG Xin-hua  LUO Yong-yu
Institution:Dept. of Anesthesiology, The 1st Affiliated Hospital of Kunming Medical College, Kunming 650032, China
Abstract:Objective To observe and compare the effects of four kinds of anesthetic methods on the revival time,the rate of re-dormant after revival,the total Ketamine's doses and the respiratory status after extubation,and to improve the safety of anesthesia.Method 80 cases of children with palatorrphy were randomly divided into 4 groups: group A(n=20) given Midazolam and Ketamine,group B(n=20) given Fentanyl and Ketamine,group C(n=20) given Isoflurane and Ketamine,and group D(n=20) given Sevoflurane and Ketamine.Results(1) The revival time in group D and group C shortened(D and C
Keywords:Palatorrphy  Anesthesia medicine  Revival time  Rate of re-dormant  Upper respiratory tract obstruction  Anesthetic safety
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