中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2014年
8期
138-139
,共2页
七氟醚%氯胺酮%全麻诱导
七氟醚%氯胺酮%全痳誘導
칠불미%록알동%전마유도
Sevofiurane%Ketamine%The induction of general anesthesia
目的:比较氯胺酮和七氟醚用于小儿日间全麻手术诱导的临床特征。方法将我院收治的40例小儿手术患者,随机分为氯胺酮组(K组)和七氟醚组(S 组)。结果两组患者哭闹持续时间、完成气管插管时间无统计学差异,呛咳憋气发生率 S 组多于 K 组,K 组呼吸道分泌物增加高于 S 组,两组均无喉痉挛发生。苏醒期 K 组拔管时间晚于 S 组,呼吸道分泌物增加例数多于 S 组,恶心呕吐发生率高于 S 组。结论与氯胺酮肌注麻醉诱导比较,采用七氟醚吸入诱导进行麻醉产生的并发症少,且苏醒快。
目的:比較氯胺酮和七氟醚用于小兒日間全痳手術誘導的臨床特徵。方法將我院收治的40例小兒手術患者,隨機分為氯胺酮組(K組)和七氟醚組(S 組)。結果兩組患者哭鬧持續時間、完成氣管插管時間無統計學差異,嗆咳憋氣髮生率 S 組多于 K 組,K 組呼吸道分泌物增加高于 S 組,兩組均無喉痙攣髮生。囌醒期 K 組拔管時間晚于 S 組,呼吸道分泌物增加例數多于 S 組,噁心嘔吐髮生率高于 S 組。結論與氯胺酮肌註痳醉誘導比較,採用七氟醚吸入誘導進行痳醉產生的併髮癥少,且囌醒快。
목적:비교록알동화칠불미용우소인일간전마수술유도적림상특정。방법장아원수치적40례소인수술환자,수궤분위록알동조(K조)화칠불미조(S 조)。결과량조환자곡료지속시간、완성기관삽관시간무통계학차이,창해별기발생솔 S 조다우 K 조,K 조호흡도분비물증가고우 S 조,량조균무후경련발생。소성기 K 조발관시간만우 S 조,호흡도분비물증가례수다우 S 조,악심구토발생솔고우 S 조。결론여록알동기주마취유도비교,채용칠불미흡입유도진행마취산생적병발증소,차소성쾌。
Objective Comparison of ketamine and sevofiurane anesthesia for pediatric general anesthesia induced daytime operation characteristics. Methods To select 40 cases of pediatric surgery received and tread in our hospital, and divide the patients randomly into ketamine group (group K) and sevofiurane group (group S). Results Two groups of crying duration, tracheal intubation time to finish no statistical difference, choking breath occurrence rate in S group than K group, K group of respiratory tract secretion increased higher than that in group S, laryngeal spasm occurred in both two groups. The recovery period of group K the extubation time was later than that of S group, the number of cases of respiratory secretions increased more than those in S group, the incidence of nausea and vomiting was higher than that in group S. Conclusion Compared with intramuscular injection of ketamine induced anesthesia, sevofiurane inhalation induction of anaesthesia produced fewer complications, faster recovery and.