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目的研究氯胺酮联合骶管阻滞麻醉在小儿疝气手术中的应用效果。方法选取中国人民解放军第91中心医院麻醉科2014年9月—2015年11月收治的实施疝气手术患儿58例,按照麻醉方式的不同分为研究组和对照组,各29例。研究组采用氯胺酮联合骶管阻滞麻醉,对照组采用氯胺酮实施麻醉,对比两组患儿的麻醉效果。结果麻醉后5、10、15min,研究组收缩压和舒张压均高于对照组,心率低于对照组,差异有统计学意义(P<0.05);研究组氯胺酮用量少于对照组,差异有统计学意义(P<0.05);研究组麻醉优良率为96.6%(28/29),对照组为75.9%(22/29),差异有统计学意义(P<0.05);研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论氯胺酮联合骶管阻滞麻醉在小儿疝气手术中的应用效果良好,对患儿影响较小,且安全性较高。
Objective To study the effect of ketamine and caudal block anesthesia in pediatric hernia surgery. Methods A total of 58 children undergoing hernia surgery from September 2014 to November 2015 were selected from the Department of Anesthesiology, the 91st Central Hospital of Chinese People’s Liberation Army. They were divided into study group and control group, with 29 cases in each group. The study group was treated with ketamine combined with sacral block anesthesia, and the control group was anesthetized with ketamine to compare the anesthetic effects of the two groups. Results At 5, 10 and 15 minutes after anesthesia, the systolic and diastolic blood pressures of the study group were higher than those of the control group, and the heart rate was lower than that of the control group (P <0.05). The amount of ketamine in the study group was less than that of the control group (P0.05). The excellent and good rate of anesthesia was 96.6% (28/29) in the study group and 75.9% (22/29) in the control group, the difference was statistically significant (P0.05). The study group’s adverse reaction The incidence was lower than the control group, the difference was statistically significant (P <0.05). Conclusion The combination of ketamine and caudal block anesthesia has a good effect in pediatric hernia surgery and has less impact on children with higher safety.