论文部分内容阅读
目的观察氟烷、氯胺酮与利多卡因在小儿麻醉的疗效及安全性。方法将130例手术患儿随机分为观察组和对照组各65例,观察组给予氟烷、氯胺酮及利多卡因麻醉,对照组行氟烷和氯胺酮麻醉,比较两组麻醉效果、术中心率(HR)、呼吸频率(RR)、血压(BP)变化及不良反应。结果两组患儿均获得满意的麻醉效果;术中观察组HR、RR均较对照组减慢(P<0.01),BP也较对照组降低(P<0.01);术后观察组苏醒及清醒时间均较对照组缩短(P<0.01);观察组恶心、呕吐、屏气、肌僵、寒颤及躁动等不良反应均较对照组减少(P<0.05)。结论氟烷、氯胺酮与利多卡因联合麻醉具有诱导快、术中镇静完全、术后清醒快、不良反应少的优点,具有广阔的应用前景。
Objective To observe the efficacy and safety of halothane, ketamine and lidocaine in pediatric anesthesia. Methods A total of 130 surgical patients were randomly divided into observation group (65 cases) and control group (65 cases). The observation group was given halothane, ketamine and lidocaine anesthesia. The control group was anesthetized with halothane and ketamine. The anesthetic effect, (HR), respiratory rate (RR), blood pressure (BP) changes and adverse reactions. Results The satisfactory results of anesthesia were obtained in both groups. HR and RR in the observation group were lower than those in the control group (P <0.01), BP was also lower than that in the control group (P <0.01) (P <0.01). The adverse reactions such as nausea, vomiting, breath holding, muscle stiffness, shivering and restlessness in the observation group were all lower than those in the control group (P <0.05). Conclusion The combination of halothane, ketamine and lidocaine anesthesia has the advantages of rapid induction, complete sedation during operation, quick wakefulness after operation and few adverse reactions. It has broad application prospects.