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目的:观察氯胺酮联合丙泊酚泵注用于小儿非气管插管全麻对患儿呼吸功能及术后苏醒时间的影响。方法:对93例进行非气管插管全麻患儿的临床资料进行回顾性分析。将这93例患儿随机分为观察组和对照组,观察组患儿应用氯胺酮联合丙泊酚泵注进行麻醉,对照组患儿单用氯胺酮进行麻醉。观察两组患儿术中的呼吸频率、血氧饱和度及术后苏醒的时间。结果:观察组患儿麻醉前和麻醉后的相关呼吸指标没有明显的差异,无统计学意义。而对照组患儿麻醉前和麻醉后的相关呼吸指标有明显的差异,具有统计学意义(P<0.05)。在术后,观察组患儿苏醒的时间明显短于对照组患儿,差异具有统计学意义(P<0.01)。结论:将小剂量的氯胺酮联合丙泊酚用于小儿非气管插管性全麻,可起到取长补短的联合用药效果,对儿科手术具有重要的临床应用价值。
Objective: To observe the effects of ketamine combined with propofol pump on respiratory function and postoperative recovery time in children under general anesthesia with non-tracheal intubation. Methods: 93 cases of non-tracheal intubation in children with clinical data were retrospectively analyzed. The 93 children were randomly divided into observation group and control group. The children in observation group were anesthetized with ketamine and propofol pump, and those in control group were anesthetized with ketamine alone. The respiratory rate, oxygen saturation and postoperative recovery time were observed in the two groups. Results: There was no significant difference between the observation group before and after anesthesia related respiratory index, no statistical significance. The control group of children before and after anesthesia related respiratory index have significant differences, with statistical significance (P <0.05). After operation, the recovery time of the observation group was significantly shorter than that of the control group, the difference was statistically significant (P <0.01). Conclusion: A small dose of ketamine combined with propofol for pediatric non-tracheal intubation general anesthesia can play a combined effect of taking advantage of each other, and has important clinical value for pediatric surgery.