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目的:探讨瑞芬太尼复合氯胺酮在小儿手术麻醉中的临床应用效果。方法:选取我院接收的80例手术患儿作为研究对象,随机将其分为观察组和对照组,对照组患儿采用氯胺酮维持麻醉,观察组患儿采用瑞芬太尼复合氯胺酮维持麻醉,对两组患儿的麻醉效果进行比较。结果:两组患儿术前对比无创血压、心率、血氧饱和度等差异无统计学意义(P>0.05)。两组患儿术中无创血压及血氧饱和度比较差异无统计学意义(P>0.05),但观察组患儿的心率明显低于对照组(P<0.05);且两组患儿氯胺酮用量及苏醒时间比较均差异有统计学意义(P<0.05)。结论:小儿手术时采用瑞芬太尼复合氯胺酮麻醉可取得较好的麻醉效果。
Objective: To investigate the clinical effect of remifentanil combined with ketamine in pediatric anesthesia. Methods: Eighty cases of children undergoing surgical operation in our hospital were selected as study subjects and randomly divided into observation group and control group. In control group, ketamine was used to maintain anesthesia. In the observation group, remifentanil combined with ketamine was used to maintain anesthesia, The effects of anesthesia in both groups were compared. Results: Preoperative noninvasive blood pressure, heart rate, oxygen saturation and other differences between the two groups were not statistically significant (P> 0.05). There was no significant difference in noninvasive blood pressure and oxygen saturation between the two groups (P> 0.05), but the heart rate in the observation group was significantly lower than that in the control group (P <0.05). The ketamine dosage And wake time comparison difference was statistically significant (P <0.05). Conclusion: Remifentanil combined with ketamine anesthesia can achieve better anesthetic effect in pediatric surgery.