氯胺酮复合麻醉合并硬膜外阻滞在小儿腹部手术的应用

Application of Ketamine Combined Anesthesia with Peridural Block in Infantile Abdominal Operation

目的 比较氯胺酮复合麻醉合并硬膜外阻滞和单纯氯胺酮复合麻醉在小儿腹部手术中的应用效果。方法 对 40例随机分为复合组 (A组 ) 2 0例 ,单纯氯胺酮复合麻醉组 (B组 ) 2 0例。观察术中麻醉效果及并发症 ,并记录氯胺酮用量 ,术毕作清醒程度的判断。结果 麻醉效果满意率A组明显优于B组 (P <0 .0 5 )。术中氯胺酮用量A组 (80± 15 )mg比B组 (15 0± 10 )mg显著少 (P <0 .0 1)。与B组比较 ,A组术毕未醒例数极显著减少 ,完全清醒例数大大增多 (P <0 .0 1)。A组无呼吸抑制、恶心、呕吐 ,而B组肌颤 2例、呕吐 3例。结论 氯胺酮复合麻醉合并硬膜外阻滞 ,镇痛完善 ,肌肉松驰 ,用药量明显减少 ,术后并发症少 。

Objective To compare the effects of ketamine combined anesthesia with peridural block in infantile obdominal operation Method 40 cases were randomly divided into two groups Group A was a combined group with 20 cases and group B was also 20 cases with kelamine combined anesthesia only In operation the effects of anesthesia and complications were observed and the doses of ketamine were recorded The lucidity was judged after operation Result The effect of anesthesia in group A was obviously superior to that in group B(A<0.05) The dose of ketamine in operation in group A(80±15 mg)was much less than that in group B(150±10 mg) The lucid cases after operation in group A were much more than those in group B Conclusion The effect of ketamine combined anesthesia was good In operation analgesia was complete, muscles were relax and dose was less After operation complications were less and lucidity was rapid