氯胺酮复合丙泊酚及氯胺酮复合咪达唑仑在小儿麻醉中的麻醉效果对比

摘要

Objective To study were ketamine and propofol and meidazolam anesthesia in pediatric surgery and postoperative anesthesia. Methods 40 patients from 2 to 8 years old intends general anesthesia lower abdomen in children undergoing elective surgery, informal sex. Were randomly divided into ketamine and propofol group(A), ketamine and meidazolam group (group B), 20 cases in each group(n=20). Were compared analgesic, sedative effect and restlessness, nausea, vomiting, the incidence of respiratory depression and other complications. Results The two groups were satisfied with analgesic and sedative effects, but group B restlessness, nausea and vomiting was significantly higher than the A group. Conclusion Of ketamine and propofol for pediatric anesthesia effect is more safe and effective.%目的：研究氯胺酮分别复合丙泊酚和咪达唑仑在小儿麻醉术中及术后的麻醉效果。方法40例2~8岁拟在全身麻醉下行择期下腹部手术患儿，不拘性别。随机数字表法分为氯胺酮复合丙泊酚组（A组），氯胺酮复合咪达唑仑组（B组），每组各20例（n=20），比较两组镇痛、镇静效果及躁动、恶心呕吐、呼吸抑制等并发症的发生率。结果两组镇痛及镇静效果均满意，但B组躁动、恶心呕吐的发生率明显高于A组，且A组比B组苏醒时间明显缩短。结论氯胺酮复合丙泊酚用于小儿麻醉效果更加安全有效。