患儿的性格、心理状态对氯胺酮麻醉苏醒期精神症状的影响

Effects of children's mentality on mental symptoms during recovery period of ketamine anesthesia

目的研究患儿性格、心理状态对氯胺酮麻醉后苏醒期血流动力学及精神症状的影响。方法45例行短小手术患儿,按其平时性格心理状态分为活泼、平稳和烦躁三组,每组15例。均行单纯氯胺酮麻醉。于手术结束时和结束后5、10、30min监测RR、SBP、HR及SpO2,并同时观察患儿的表情、情绪、行为、语言及肢体活动。结果活泼及烦躁组RR、SBP、HR在手术结束后10、30min明显高于手术结束时(P<0.05),患儿的表情、情绪、行为、语言及肢体活动三组相比差异有统计学意义。结论患儿性格、心理状态对氯胺酮苏醒期循环及精神症状的表现有明显影响。

Objective To investigate the effects of cbildren＇s mentality on mental symptoms during recovery period of ketamine anesthesia. Methods According to the mentality, forty-five children undergoing smalminor surgery were assigned into active group, stable group and fretful group with 15 cases each. Child was anaesthetized by ketamine alone. RP, BP, HR and SpO2 were recorded at the end of operation, 5,10 and 30 min after operation. Meanwhile the expression, feeling,behavior, talking and activity were observed. Results RR, BiD, HR in active group and fretful group were significantly higher than those in stable group. There was a significant difference in the expression, feeling,behavior, talking and activity among three groups. Conclusion Children＇s mentality has a significant effect on mental symptoms and hemodynamics during recovery period of ketamine anesthesia.