亚麻醉剂量的氯胺酮和芬太尼辅助硬膜外麻醉在小儿手术中的应用

Application of subanesthetized ketamine and fentanyl assisted epidural anesthesia in pediatric surgery

目的:观察为接受手术的患儿采用亚麻醉剂量的氯胺酮和芬太尼辅助硬膜外麻醉法进行麻醉的临床效果。方法:选择2017年3月至2019年6月在丰都县中医院接受手术治疗的患儿100例作为研究对象。按随机数表法将其分为复合组和对比组。为对比组患儿采用氯胺酮进行全凭静脉麻醉,为复合组患儿采用亚麻醉剂量的氯胺酮和芬太尼辅助硬膜外麻醉法进行麻醉。然后对比两组患儿手术前后的平均动脉压(MAP)、心率(HR)和血氧饱和度(SpO2)。结果:在术前,两组患儿的MAP、HR、SpO2相比,P>0.05。在术后,复合组患儿的MAP、HR、SpO2均高于对比组患儿,P<0.05。结论:为接受手术的患儿采用亚麻醉剂量的氯胺酮和芬太尼辅助硬膜外麻醉法进行麻醉的临床效果较好。

Objective:To observe the clinical effect of subanesthetic ketamine and fentanyl assisted epidural anesthesia in children undergoing surgery.Methods:100 cases of pediatric patients who received surgical treatment in Fengdu County Hospital of Traditional Chinese Medicine from March 2017 to June 2019 were selected as study subjects.They were divided into compound group and contrast group according to random number table method.For the contrast group,ketamine was used for total intravenous anesthesia,and for the composite group,ketamine and fentanyl were used for epidural anesthesia.Mean arterial pressure(MAP),heart rate(HR)and oxygen saturation(SpO2)were then compared between the two groups before and after surgery.Results:before operation,MAP,HR and SpO2 of the two groups were compared and P>0.05.After surgery,MAP,HR and SpO2 of the composite group were all higher than those of the control group(P<0.05).Conclusion:Ketamine and fentanyl were used as subanesthesia for epidural anesthesia in children undergoing surgery.