小儿麻醉临床分析研究

Clinical Analysis of Pediatric Anesthesia

目的探讨氯胺酮复合丙泊酚用于小儿手术麻醉的临床效果。方法将2009年1月到2010年2月于我院进行手术的80例患儿随机分为两组，氯胺酮组37例使用氯胺酮单独麻醉，联合组43例采用氯胺酮联合丙泊酚的麻醉方法，观察两组术后的不良反应发生率和术后苏醒时间，进行统计分析。结果联合组术前和术后HR和RR变化优于氯胺酮组，两组比较差异有统计学意义，P〈0．05；联合组的不良反应发生率为9．3％低于氯胺酮组的24．3％，两组比较差异有统计学意义，P〈0．05；联合组的患儿苏醒时间短于氯胺酮组，两组比较差异也具有统计学意义，P〈0．05。结论氯胺酮复合丙泊酚用于小儿手术麻醉的效果优于单一的氯胺酮麻醉，值得推广应用。

Objective To investigate the ketamine and propofol anesthesia for pediatric clinical effect. Methods From january 2009 to February 2010 in our hospital 80 cases surgery children were randomly divided into two groups of 37 cases of ketamine anesthesia using ketamine alone, 43 cases combined with propofol ket- amine anesthesia to observe the postoperative incidence of adverse reactions, and postoperative recovery time, for statistical analysis. Results The preoperative and postoperative changes in HR and RR were better than the ketamine group, the difference was statistically significant, P 〈0.05; 9. 3% adverse reaction rate in combined group was 24. 3% lower than the ketamine group,There were significant differences between groups, P 〈0.05 ; recovery time in children of combimed group were less than ketamine group, the difference was also statistically significant, P 〈 0. 05. Conclusion Ketamine and propofol anesthesia for children is better than a single ket- amine anesthesia, should be widely applied.