两种麻醉方法对小儿下腹部手术麻醉效果观察  

作　　者：李毅[1] 

机构地区：[1]四川双流县第二人民医院麻醉科,610213

出　　处：《中国社区医师（医学专业）》2012年第23期36-36,共1页

摘　　要：目的:探讨单次骶管阻滞复合氯胺酮基础麻醉与全凭氯胺酮静脉麻醉在婴幼儿下腹部手术中应用的比较。方法:对照组为氯胺酮静脉麻醉组,观察组为单次骶管复合氯胺酮麻醉。结果:观察组患者在MAP、HR在手术开始及术中较为稳定,对照组患者在MAP、HR在手术开始及术中变化较大,观察组明显低于对照组,两组比较差异有显著性(P<0.05);两组患者手术时间比较无显著性差异(P>0.05),氯胺酮用量及患者苏醒时间比较,差异有显著性(P<0.05)。结论:单次骶管阻滞氯胺酮在小儿下腹部手术中应用比全凭氯胺酮麻醉有明显的优势。Objective: To discuss the application of the comparison in abdominal surgery in infants and young children of a single caudal block ketamine base anesthesia depends ketamine intravenous anesthesia.Methods: The control group ketamine intravenous anesthesia group,the observation group,a single sacral tube ketamine anesthesia.Results: The patients in MAP,HR,the start of surgery and intraoperative relatively stable in the control group patients,MAP,HR in the start of surgery and intraoperative changes in the observation group was significantly lower than the control group respectively,there were significant differences(P <0.05);two groups of patients with operative time was no significant difference(P > 0.05),ketamine dosage and the patients' awake time,there is a significant difference(P < 0.05).Conclusion: The single caudal block application of ketamine in pediatric abdominal surgery has obvious advantages than depends ketamine anesthesia.

关 键 词：小儿 下腹部手术麻醉 氯胺酮 

分 类 号：R656[医药卫生—外科学]