摘要
采用氯胺酮分别与哌替啶、安定、γ－OH复合作为小儿骶管阻滞的辅助用药。将120例患儿随机分3组，每组40例。结果显示：3组均有良好的镇静睡眠作用。氯哌组固本期无共发症，苏醒迅速；氯安组并发症少，苏醒较快，但对手术内脏牵拉有一过性躁动挣扎；氨羟组呼吸道分泌物增多、舌下坠、心率减慢等共发症多，苏醒延迟。作者认为氯哌复合作为小儿骶管阻滞辅助用药效果良好。3组辅助药给药后均有明显的SpO2下降（P＜0.01），提示辅助药对呼吸有明显抑制，应加强围术期的呼吸管理。
In caudal block anethasia in children we took Katarmine combined respectivetly with Meperidine (group A ), Valium (group B ), and Sodium hydroxy batyrate(group C ) as the adjuvent medicatiori totally there were 120 children studied and they were divided at random into above three groups, each group heing of 40 children. The Results showed that all 3 groups were ef fetively satisfactory in sedation and sleepmess. There was no complication in children of group A in the periopertive period and they woke up soon after operation.Children in group B had a few compliciations and woke up soon too, but restlessness appeared when their viscera were being retracted. Members in group C had more such complications as increased secretion in the respira tory tract, tougnes droped back and bradycardia than those in group A or B, and their wake - up was delayed.we believed that the ketamine - meperidine complex was the best as an adjavent medication in caudal block anesthesia in children. the SPO2 was lowered in all 3 group after the medication. This indicated that all these drugs mentioned above were of inhibitory affects on respiration ,For which the management should be carried out rneticulously at the time of perioperation.
出处
《广东医学》
CAS
CSCD
1997年第1期6-7,共2页
Guangdong Medical Journal
