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目的:研究氯胺酮联合丙泊酚在小儿麻醉中的应用和临床治疗效果。方法:选取我院在2011年7月至2013年7月间收治的56例麻醉手术患儿的临床资料,并进行回顾性分析。根据麻醉用药的不同,把患儿分为两组,每组各28例,对照组采用氯胺酮行麻醉,观察组采用氯胺酮与丙泊酚相结合麻醉。对比两组患儿的麻醉效果。结果:对照组患儿注射氯胺酮达到5分钟后,血压升高,且心率变快。观察组患儿注射丙泊酚后,血压降低,心率逐渐恢复正常。两组患儿在体动反应与精神症状上差异显著,具有统计学意义(P<0.05)。结论:通过对本次选取的56例患儿研究得知,利用氯胺酮与丙泊酚相结合的麻醉方式,有利于使患儿生命体征趋于稳定,值得临床推广。
Objective: To study the application of ketamine and propofol in pediatric anesthesia and its clinical effect. Methods: The clinical data of 56 cases of anesthesia in our hospital from July 2011 to July 2013 were retrospectively analyzed. According to the different anesthesia medication, the children were divided into two groups, 28 cases in each group. The control group was anesthetized with ketamine. The observation group was anesthetized with ketamine combined with propofol. The effects of anesthesia in two groups were compared. Results: After 5 minutes injection of ketamine in control group, the blood pressure increased and the heart rate became faster. After the injection of propofol, the blood pressure decreased and the heart rate returned to normal in the observation group. There was significant difference between the two groups in physical activity and mental symptoms, with statistical significance (P <0.05). Conclusion: Based on the study of 56 children selected this time, the combination of ketamine and propofol anesthesia is conducive to making children’s vital signs tend to be stable, worthy of clinical promotion.