摘要
目的探讨异丙酚复合氯胺酮麻醉用于小儿腹腔镜下疝修补术的可行性及安全性。方法拟行择期腹腔镜下疝修补术的小儿患者40例,随机分为静脉全麻组(不插管()I组,n=20),气管插管全麻组(II组,n=20)。I组采用异丙酚和氯胺酮全凭静脉麻醉,术中面罩给氧,保持自主呼吸。II组给予咪唑安定、氯胺酮、芬太尼及维库溴铵维持麻醉,气管插管控制呼吸。结果I组麻醉诱导快,术中呼吸循环平稳,麻醉效果满意,术后清醒快;II组诱导及清醒时间长,术后躁动、恶心、呕吐发生率高。结论异丙酚和氯胺酮静脉复合麻醉用于腹腔镜下小儿疝修补术是安全可行的。
[Objective] To explore the possibility and safety of propofol combined with ketamine intravenous anesthesia for groin hernia repair under endoscopy in children. [Methods] Fourty children who were arranged to recive groin hernia repair under endoscopic were randomly divided into total intravenous anesthesia group with propofol and ketamine （group Ⅰ, n=20） and intratracheal anesthesia group with midazolam, ketamine, fentanyl and veconorm （group Ⅱ, n=20）, group I kept spotanuous by facemask, group II were intubated with controlled ventilation. [Results] The time induction and recovery in group Ⅰ was faster than that in group Ⅱ （P〈0.01）, The incidence of agitation, nausea and vomiting in group I was less than that in in group Ⅱ （P〈0.05）. [Conclusion] The intravenous anesthesia combined with ketamine and propofol for groin hernia repair under endoscopic in children is safe and trusty.
出处
《中国医学工程》
2005年第4期401-402,共2页
China Medical Engineering
关键词
静脉复合麻醉
小儿
疝修补术
内镜
total intravenous anesthesia
groin hernia repair
children
endoscopy
