摘要
目的 探讨小剂量异丙酚与氯胺酮并用于输卵管结扎术中的疗效。方法 随机将病人分为氯胺酮 -异丙酚组 (KP)和氯胺酮组 (KT) ,两组均先在消毒铺巾后肌注氯胺酮 1m g· kg- 1 ,然后在手术进腹前 ,KP组以异丙酚 1.5 m g· kg- 1 、KT组以氯胺酮 0 .5 m g· kg- 1 稀释至同等容量 ,在1.0± 0 .5 m in内静脉注入 ,随时观察、记录病人清醒时间、不良反应等。结果 在镇痛、镇静效果上 ,KP组明显优于 KT组 ,不良反应两组有差异 ,但差异无显著意义。结论 小剂量异丙酚与氯胺酮合用于妇科输卵管结扎术 ,麻醉起效迅速、可靠、安全、副作用小 ,是较理想的麻醉方法之一。
Objective To study the effect that low doses propofol and ketamine were used in tubal uterina ligation. Metholds Patients were allocated into two groups at random, Propofol ktamine(KP) group and Ktamine(KT) group. First, two groups were all intramuscularly injected ketamine by 1 mg·kg -1 . Then KP group as propofol 1.5 mg·kg -1 and KT group as ketamine 0.5 mg·kg -1 were diluted to the same volume, and intravenous injected during 0.5～1.5 minutes. The observer watched without intermission and worte down the time when the patients came round and the adverse reaction. Results KP group was obviously better than the KT group in sedation. The adverse respose of KP group was worse than that of the KT group, but the difference was not significant. Conclusions If low doses propofol and ketamine are used together in tubal uterina ligation, the value of its anesthesia is quick and safe.
出处
《疾病控制杂志》
2000年第2期122-123,共2页
Chinese Journal of Disease Control and Prevention
