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氯胺酮与不同药物配伍应用于不同年龄段小儿眼科的麻醉
http://www.100md.com 《中华现代临床医学杂志》 2000年第20期
氯胺酮;药物配伍;不同年龄;小儿眼科;麻醉,,],氯胺酮;药物配伍;不同年龄;小儿眼科;麻醉,1资料与方法,2结果,3讨论,[参考文献]
     [摘要] 目的 观察氯胺酮复合利多卡因、咪唑安定、异丙酚分别用于不同年龄段小儿眼科手术的临床麻醉效果。方法 选择200例各类眼科短小手术病例,年龄1个月~9岁,体重5~30 kg,男114例,女86例。ASA Ⅰ级,无其他全身性先天性疾患。按年龄分为3组,A组:1个月~3岁共62例,用药为氯胺酮+利多卡因;B组:3~6岁共71例,用药为氯胺酮+咪唑安定;C组:6~9岁共67例,用药为氯胺酮+异丙酚。观察各组术中麻醉效果及各类并发症的发生率。结果 三组术中均达到满意效果,三组术中及术后各类并发症发生率比较差异无显著性。结论 氯胺酮与不同药物配伍应用于不同年龄段小儿眼科麻醉是安全有效的。

    [关键词] 氯胺酮;药物配伍;不同年龄;小儿眼科;麻醉

    Clinical anesthesia of ketamine combined with lidocaine,midazolam and propofol

    CHEN Xiaoxi,LI Jinhu,SUN Yingqun,et al.

    Hongxing Hospital,Daxing District,Beijing 100076,China

    [Abstract] Objective To observe the clinical anesthesia effect of ketamine combined with lidocaine,midazolam and propofol used in ophthalmic operation of children in different age groups respectively.Methods 200 patients without any congenital diseases with ASAI status undergoing different short ophthalmic operation were divided into 3 groups by age.114 boys and 86 girls,the weight is from 5 kg to 30 kg and the age is from 1 month to 9 years old.GroupA:62 children from 1 month to 3 years use ketamine+lidocaine;GroupB:71 children from 3 to 6 years use ketamine+midazolam;GroupC:67 children from 6 to 9 years use ketamine+propofol,and observe the anesthetic effect and the rate of any subsequent syndrome among 3 groups.Results There is no significantly difference of the rate of subsequent syndrome among 3 groups.Conclusion It indicates that ketamine with other drugs used in ophthalmic operation of different aged children is safe and effective. ......

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