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目的通过临床上对儿童手术患者采用氯胺酮联合芬太尼区域麻醉方法,观察并探讨该方法对于小儿患者的麻醉效果。方法选取我院收治的90例需手术治疗的小儿患者,将患者随机分为治疗组45例和对照组45例,其中治疗组患儿采用小剂量氯胺酮联合芬太尼进行区域麻醉方法,对照组的患儿采用单纯静脉注射氯胺酮的麻醉方法,并观察两组患儿的苏醒时间、完全清醒时间、术中术后的心率、平均动脉压变化以及术后的不良反应发生情况。结果治疗组患儿的术前术后心率变化、平均动脉压变化、苏醒时间及完全清醒时间小于对照组患儿,差异具有统计学意义(P<0.05),对照组患儿的不良反应发生情况多余治疗组,差异具有统计学意义(P<0.05)。结论小剂量的氯胺酮联合芬太尼的区域麻醉的方法用药剂量小,麻醉效果明显,不良反应的发生情况较低,恢复时间短,适用于小儿手术,该方法值得在临床上推广和使用。
Objective To observe and discuss the anesthetic effects of this method on pediatric patients by clinical anesthesia with ketamine combined with fentanyl in children undergoing surgery. Methods Totally 90 pediatric patients undergoing surgical treatment were enrolled in our hospital. The patients were randomly divided into treatment group (n = 45) and control group (n = 45). The treatment group received regional anesthesia with low dose ketamine combined with fentanyl and the control group Of children with simple intravenous ketamine anesthesia, and to observe the recovery time, complete awake time, intraoperative and postoperative heart rate, mean arterial pressure changes and postoperative adverse reactions in both groups. Results The changes of heart rate, mean arterial pressure, recovery time and complete awake time in the treatment group were less than those in the control group, the difference was statistically significant (P <0.05). The incidence of adverse reactions in the control group The extra treatment group, the difference was statistically significant (P <0.05). Conclusion Regional anesthesia with small dose of ketamine combined with fentanyl has the advantages of small dosage, obvious anesthetic effect, low incidence of adverse reactions, short recovery time and suitable for pediatric surgery. The method is worthy of clinical promotion and use.