论文部分内容阅读
目的探究在不同麻醉方法对小儿下腹部手术的麻醉效果影响。方法选择2010年1月—2015年1月于本院进行下腹部手术的144例患儿,随机分为对照组70例和观察组74例,对照组采用氯胺酮全静脉麻醉,观察组采取氯胺酮复合腰硬联合麻醉,对患儿生命体征、术后苏醒时间和不良反应发生等进行记录,并对麻醉效果进行对比分析。结果观察组患儿在术中Sp O2,RR和术后MAP,RR等方面优于对照组,差异均有统计学意义(均P<0.05);观察组患儿的术后苏醒时间,呕吐、头晕等不良反应发生率均低于对照组,差异均有统计学意义(均P<0.05)。结论两种麻醉方法均满足手术要求,术中无痛觉、无知晓,但氯胺酮复合腰硬联合麻醉术后部分术中术后呼吸循环指标优于对照组,且麻醉后苏醒时间短,呕吐和头晕等不良反应发生率低,值得临床推广与应用。
Objective To explore the effects of different anesthesia on the anesthetic effect of pediatric lower abdominal surgery. Methods A total of 144 children undergoing lower abdominal surgery in our hospital from January 2010 to January 2015 were randomly divided into control group (70 cases) and observation group (74 cases). The control group was treated with ketamine intravenous anesthesia. The observation group was treated with ketamine Joint spinal and epidural anesthesia, the vital signs of children, postoperative recovery time and adverse reactions were recorded and compared the effects of anesthesia. Results The observation group was superior to the control group in the mean of Sp O2, RR and postoperative MAP, RR (all P <0.05). The recovery time, vomiting, Dizziness and other adverse reactions were lower than the control group, the difference was statistically significant (P <0.05). Conclusions Both anesthesia methods meet the requirements of operation. There is no pain and no pain during operation. However, some postoperative respiratory cycles of ketamine combined with spinal and epidural anesthesia are better than the control group, and the anesthesia recovery time is short, vomiting and dizziness The incidence of adverse reactions such as low, worthy of clinical promotion and application.