中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
2期
35-36
,共2页
麻醉诱导%氯胺酮%咪唑安定%白内障
痳醉誘導%氯胺酮%咪唑安定%白內障
마취유도%록알동%미서안정%백내장
Anestesia induction%Ketamine%Midazolam%Cataract
目的 比较用氯胺酮、丙泊酚、芬太尼诱导的全身麻醉与咪唑安定、丙泊酚、芬太尼诱导的全身麻醉在小儿白内障手术中的麻醉效果.方法 将30例择期白内障手术患儿随机分成两组,入手术室时肌肉注射氯胺酮(A组)和入手术室时静脉滴注咪唑安定(B组),每组15例.观察两组患儿麻醉诱导期间的心率(HR)、血压(BP)的变化和术毕拔管后的不良反应.结果 A组麻醉诱导期间的HR快于B组(P<0.05),BP高于B组(P<0.05),拔管后不良反应明显多于B组(P<0.05).结论 用咪唑安定、丙泊酚、芬太尼诱导的全身麻醉在小儿白内障手术时,麻醉诱导期间的HR、BP比较平稳,毕术拔管后的不良反应少.
目的 比較用氯胺酮、丙泊酚、芬太尼誘導的全身痳醉與咪唑安定、丙泊酚、芬太尼誘導的全身痳醉在小兒白內障手術中的痳醉效果.方法 將30例擇期白內障手術患兒隨機分成兩組,入手術室時肌肉註射氯胺酮(A組)和入手術室時靜脈滴註咪唑安定(B組),每組15例.觀察兩組患兒痳醉誘導期間的心率(HR)、血壓(BP)的變化和術畢拔管後的不良反應.結果 A組痳醉誘導期間的HR快于B組(P<0.05),BP高于B組(P<0.05),拔管後不良反應明顯多于B組(P<0.05).結論 用咪唑安定、丙泊酚、芬太尼誘導的全身痳醉在小兒白內障手術時,痳醉誘導期間的HR、BP比較平穩,畢術拔管後的不良反應少.
목적 비교용록알동、병박분、분태니유도적전신마취여미서안정、병박분、분태니유도적전신마취재소인백내장수술중적마취효과.방법 장30례택기백내장수술환인수궤분성량조,입수술실시기육주사록알동(A조)화입수술실시정맥적주미서안정(B조),매조15례.관찰량조환인마취유도기간적심솔(HR)、혈압(BP)적변화화술필발관후적불량반응.결과 A조마취유도기간적HR쾌우B조(P<0.05),BP고우B조(P<0.05),발관후불량반응명현다우B조(P<0.05).결론 용미서안정、병박분、분태니유도적전신마취재소인백내장수술시,마취유도기간적HR、BP비교평은,필술발관후적불량반응소.
Objective To contrast the anesthesia effect of ketamine,propofol and fentanyl induced general anesthesia to midazolaml, propofol and fentanyl induced general anesthesia in pedo -cataract operation. Methods Randomly divided 30 selected time cataract operation children to two groups:intramuscular injection with ketamine before enter operating- room group(group A)and injected midazolam group(group B) ,15 children each. Observed the HR, BP deference during anesthesia induction and the adverse effects after extubate. Results HR in group A were faster than that in group B(P<0.05), and BP were higher than thatin group B (P<0.05) and the adverse effects after extubate were more than that in group B (P<0.05). Conclusions Ketamine,propofol and fentanyl induced general anesthesia in pedo -cataract operation, HR, BP are relatively stable and the adverse effects after extubate are few.
