CAJ | 학술논문

目的：临床实践分析氯胺酮复合异丙酚静脉麻醉在小儿外科手术中的临床应用效果及安全性。方法临床研究中随机抽取90例 ASAⅠ～Ⅱ级择期手术患儿临床麻醉资料进行回顾性分析。结果静脉组在诱导时间、苏醒时间方面长于吸入组；血流动力学变化方面两组患儿无明显差异性；麻醉不良反应方面两组患儿存在明显差异性。结论经临床对照分析，在小儿外科手术中采用氯胺酮复合异丙酚静脉麻醉方式，患儿术中呼吸循环平稳且术后镇痛效果良好，对小儿生理功能影响较小，属于是比较理想的小儿外科手术麻醉方案。
목적：림상실천분석록알동복합이병분정맥마취재소인외과수술중적림상응용효과급안전성。방법림상연구중수궤추취90례 ASAⅠ～Ⅱ급택기수술환인림상마취자료진행회고성분석。결과정맥조재유도시간、소성시간방면장우흡입조；혈류동역학변화방면량조환인무명현차이성；마취불량반응방면량조환인존재명현차이성。결론경림상대조분석，재소인외과수술중채용록알동복합이병분정맥마취방식，환인술중호흡순배평은차술후진통효과량호，대소인생리공능영향교소，속우시비교이상적소인외과수술마취방안。
To evaluate the clinical efficacy and safety of ketamine combined with propofol intravenous anesthesia in pediatric surgical operation in the clinical practice. Methods the clinical study in a random sample of 90 patients with ASA I-II undergoing operation were retrospectively analyzed clinical anesthesia. Results vein group in the induction time, recovery time is longer than the inhalation group;hemodynamic change of two groups of children with no significant difference;anesthesia adverse reaction of two groups were significant difference. Conclusion the clinical analysis in pediatric surgical operation, using ketamine combined with propofol anesthesia, analgesia and postoperative hemodynamics in operation of children with good, have less effect on the children's physiological function, which belongs to the pediatric anesthesia surgical operation is the ideal case.