舒-芬太尼联合氯胺酮用于小儿静脉全麻的效果观察  

The Effect of Shu-fentanyl Intravenous Ketamine for Pediatric Anesthesia

作　　者：刘元明 

机构地区：[1]湖南省冷水江市人民医院,湖南冷水江417500

出　　处：《中国医药指南》2011年第19期220-221,共2页Guide of China Medicine

摘　　要：目的观察舒-芬太尼联合氯胺酮用于小儿静脉全麻的临床效果。方法将120例小儿骨科、普外科、烧伤科手术接受不同手术方式的小儿患者分成A组,B组和C组,其中A组35例接受舒-芬太尼静脉泵注,B组45例接受1%氯胺酮泵注,C组40例接受舒-芬太尼和1%氯胺酮联合泵注。观察3组患儿术中麻醉镇痛效果,术后苏醒时间和不良反应以及计算每种药物的使用剂量。结果 C组患儿喉痉挛,四肢抽动,和呻吟的概率比A组和B组显著降低(P<0.05),不良反应率低,术后苏醒时间显著短于A组和B组,每种剂量的使用量显著低于A组和B组。结论舒-芬太尼联合氯胺酮应用于小儿静脉全麻效果优于单独使用,不良反应小,每种药物使用剂量少。Objective To observe the clinical effect of Shu-fentanyl ketamine intravenous anesthesia for pediatric.Methods 120 children receiving different surgeries（pediatric orthopedics,general surgery and burn surgery）were divided into A,B group and C group,35 patients of A group patients received Shu-fentanyl intravenous infusion,45 patients of B group received 1% of the ketamine infusion,and 40 patients of C group,received Shu–fentanyl and 1% ketamine infusion.The analgesic effect of intraoperative anesthesia,postoperative recovery time,adverse reactions and the dose of each drug were observed.Results laryngeal spasm,limbs twitching and the probability of moaning in C group significantly lower than A group and B group（P0.05）,adverse reactions,postoperative recovery time in C group was significantly shorter than the A group and B group,each dose Significantly lower than the use of A group and B group.Conclusion Shu-fentanyl intravenous anesthesia of ketamine used in children is better than alone with low side effects,fewer doses of each drug.

关 键 词：舒-芬太尼 氯胺酮 静脉全麻 

分 类 号：R614.24[医药卫生—麻醉学]