丙泊酚、氯胺酮在小儿疝修补术中的应用  

Propofol-Ketamine Anesthesia Used for Herniorrhaphy in Children

作　　者：田丹[1] 张艳[2] 王楷蓉[1] 何崎[1] 刘述益[1] 

机构地区：[1]成都市第一人民医院,四川成都610016 [2]电子科技大学医院,四川成都610054

出　　处：《现代临床医学》2007年第2期85-86,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨丙泊酚、氯胺酮静脉复合麻醉用于小儿疝修补术的可行性。方法:将60例拟行疝修补术的患儿按随机数字法分为两组:Ⅰ组30例,氯胺酮联合丙泊酚麻醉;Ⅱ组30例,氯胺酮联合咪达唑仑麻醉。结果:两组病例均取得满意的麻醉效果。Ⅰ组患者术中HR、SBp、DBp与术前相比无显著性差异(P>0.05),术后苏醒时间Ⅰ组与Ⅱ组比较有显著性差异(P<0.05)。结论:丙泊酚联合氯胺酮用于小儿疝修补术是一种安全、效佳、苏醒时间短的麻醉方法。Objective ：To explore the effect of propofol combined with ketamine in intravenous anesthesia for hemiorrhaphy in children . Methods： 60 childen undergoing hemiorrhaphy, were randomly divided into 2 groups ：group Ⅰ （propofol combined with ketamine） ,group Ⅱ （ketamine combined with midazolam）. Results： The anesthesia effects of two groups were similar. In group Ⅰ ,the HR,SBP,DBP of intraoperation were similar to preoperation. The awake time of group Ⅰ was shorter than group Ⅱ （ P 〈 0.05 ）. Conclusion： The propofol combined with ketamine gives effective aneshtesia and better recovery in intravenous anesthesia for hemiorrhaphy in children.

关 键 词：丙泊酚 氨胺酮 静脉麻醉 小儿 疝修补术 

分 类 号：R656.2[医药卫生—外科学]