摘要
目的比较氯胺酮基础麻醉下臂丛阻滞与单独采用氯胺酮静脉麻醉用于小儿断指再植术的麻醉效果。方法选择急诊小儿断指再植手术60例,随机分成A、B两组。A组为基础麻醉下肌间沟臂丛阻滞组,B组为氯胺酮静脉麻醉组。观察其镇静、镇痛效果,对呼吸循环的影响及苏醒期反应。结果B组MAP、HR与A组比显著增高(P<0.01),B组SPO2、RR与A组相比显著降低(P<0.01)。结论氯胺酮基础麻醉下臂丛阻滞用于小儿断指再植术麻醉效果好,不良反应少。
Objective To compare the effects of brachial plexus blocks combined with ketamine basic anesthesia and ketamine vein anesthesia alone for children undergoing replanlation of amputated finger, Methods Sixty acute cases of children requiring surgery for replanlation of amputated finger were divided at random into two groups, In group A intergroove brachial plexus blocks were used under basic anesthesia with ketamine, In groupB intravenous anesthesia was used alone. Effects of sedation and analgesia, influence on respiration and circulation and responsiveness during resuscitation were inspected. Results In group B mean arterial blood pressure and heart rate were significantly higher than the groupA （P〈0,01）.In group B the percutaneous oxygen saturation （SPO2） and breathing rate were significantly lower than in groupA （P〈0.01）.Conclusion The effect of brachial plexus blocks based on ketamine vein anesthesia is preferable for replanlation of amputated finger and there is fewer adverse reactions.
出处
《基层医学论坛（B版）》
2006年第9期769-770,共2页
Public Medical Forum Magazine
关键词
氯胺酮
臂丛阻滞
小儿
断指再植术
Ketamine Brachial plexus blocks Child replanlation of amputated finger
