氯胺酮复合麻醉用于乌干达成人的临床观察  

Clinical Observation of Ketamine Compound Anesthesia on Adults in Uganda

作　　者：高明[1] 

机构地区：[1]昆明医学院第一附属医院麻醉科,云南昆明650032

出　　处：《昆明医学院学报》2008年第2期162-164,共3页Journal of Kunming Medical College

摘　　要：目的观察氯胺酮复合麻醉对乌干达成人的临床效果.方法选择40例马干达成人ASAI-II级手术病人,随机分成两组:安定组20例,静脉注射安定0.1～0.2 mg/kg及氯胺酮1～2 mg/kg;度非组20例,静滴度冷丁0.5～1mg/kg及非那根0.25～0.5 mg/kg和静脉注射氯胺酮1～2 mg/kg,观察血压、心率、呼吸变化和病人的表情、意识以及患者对手术刺激的反应.结果与安定组比较,杜非组的镇静镇痛效果较好.结论氯胺酮复合度冷丁和非那根麻醉,其效果优于复合安定的效果.Objective To observe effects of Ketamine compound anaesthesia on adults in Uganda. Methods Forty patients of ASA class Ⅰ-Ⅱ were randomly devided into two groups： Daizamine group 20 cases, 1 - 2mg/kg Ketamine with 0.1 - 0.2 mg/kg Daizamine were intravenous injected; Dolanding＋phenergan group 20cases, 0.5 - 1mg/kg Dolanding and Phenergan0.25 - 0.5 mg/kg were intravenous injected. We observed blood pressure （BP） , heart rate （HR） , breath （R） , mainly observe the patient＇s facial expression, consciousness and the reactions of stimulate to the surgical operation. Results Compared with Daizamine group, effects of sedation and analgesia in Dolanding＋phenergan group were better. Conclusion Effects of Ketamine combined with Dolanding and phenergan was better than Ketamine combined with Daizamine.

关 键 词：氯胺酮 复合麻醉 成人 乌干达 

分 类 号：R726.14[医药卫生—儿科] R614[医药卫生—临床医学]