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氯胺酮对松止血带后患者心血管功能的影响
引用本文:衣秀娜,王开岩. 氯胺酮对松止血带后患者心血管功能的影响[J]. 实用医技杂志, 2008, 15(17): 2214-2215
作者姓名:衣秀娜  王开岩
作者单位:烟台山医院,山东,烟台,264000
摘    要:目的:观察氯胺酮对松止血带后患者血压、脉搏的影响。方法:择期行膝关节手术患者50例,随机分为观察组(K组)和对照组(C组),均在腰硬联合麻醉下手术。K组在止血带松气前1min静脉注射氯胺酮1.0mg/kg,C组未用。监测松止血带前即刻、松气后1min、3min、5min各时间段的BP、HR情况。结果:两组松气后BP均有所降低,但K组BP波动不大,心率较平稳;C组BP降幅较大,心率加快,有6例需用升压药。结论:氯胺酮可预防膝关节手术后松止血带所致的血压下降。

关 键 词:氯胺酮  止血带松气  血压

Effect of Ketamine on the Blood Pressure and Pulse induced by Touriquet Deflation
YI Xiu-na,WANG Kai-yan. Effect of Ketamine on the Blood Pressure and Pulse induced by Touriquet Deflation[J]. Journal of Practical Medical Techniques, 2008, 15(17): 2214-2215
Authors:YI Xiu-na  WANG Kai-yan
Affiliation:YI Xiu-na; WANG Kai-yan(Yantaishan Hospital; Yantai; Shandong 264000; China);
Abstract:Objective To study the effect of ketamine on the blood pressure and pulse of orthopaedic patients induced by touriquet deflation. Methods 50 ASAⅠ-Ⅱ scheduled patients undergoing orthopaedic surgery with tourniquet were selected and divided randomly into two groups. Patients in group K received ketamine 1.0 mg/kg intravenously ratherly before the tourniquet deflation .Patients in group C received the same volume of normal saline with the same method as group K.Blood samples were taken and the blood pressure、...
Keywords:Ketamine  Tourniquet deflation  Blood pressure
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