氯胺酮-异丙酚用于烧伤整形手术麻醉的体会

The Experience of Ketamine Combined Propofol Anesthesia During Burned or Orthopedic Operation

目的:总结烧伤、整形患者手术的麻醉体会。方法:分析2004年1月至2005年7月123例烧伤、整形患者的资料。所有患者采用氯胺酮-异丙酚静脉复合麻醉,手术前后分别给予止吐药物。结果:患者安静无肢动者106例(86.18%),17例(13.82%)有轻微肢动,经加深麻醉后,不影响手术操作。术中NIBP、SpO2、HR、RR平稳,7例(5.69%)出现一过性呼吸抑制,经面罩控制吸氧,减少麻醉药维持剂量后很快缓解,术后随访无麻醉并发症。结论:对于烧伤、整形患者采用氯胺酮-异丙酚静脉复合麻醉,合理调节药物注入速度,麻醉过程顺利,苏醒平稳,效果满意。

Objective： To study the experience of anesthesia management of burned and orthopedic operation. Method： Analysis 123 burned or orthopedic cases from January 2004 to July 2005 in our hospital. All patients were given ketamine combining with propofol to maintain anesthesia duing operation. Antivomit drug were given preoperative and postoperative. Result： 106 patients （86.18%） were perfectly anesthetized. 17 （13.82% ） patients had light body move,had satisfied effect after deepen anesthesia. NIBP,SpO2 ,HR,RR were steady during operation. 7 patients had transient respiratory depression , and relieved after inhalansed oxygen through face mask and decreased maintenance dosage of anesthetic . There was no anesthetic complication postoperation. Conclusion： It is satisfied with perform anesthesia by intravenous ketamine combined with propofol in burn and orthopedic operation.