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咪唑安定与氯胺酮在小儿骶麻中的复合应用

A clinical study of ketamine combined medazlom on children’s plexus sacralisanesthesia

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【作者】 张庆文

【Author】 ZHANG Qin-wenDepartment of Anesthesiology,The People’s Hospital of Lu’an,Anhui 237005

【机构】 六安市人民医院麻醉科 安徽237005

【摘要】 目的:观察咪唑安定在小儿基础麻醉复合骶管阻滞中的作用。方法:选择2003年9月~2004年8月2~10岁的小儿下腹部手术40例,随机分为M、N组,每组20例,两组入手术室后肌注氯胺酮4~6mg·kg-1后行0.25%布比卡因0.8mg·kg-1单次骶管注射。M组术中间断静注氯胺酮1~2mg·kg-1维持,N组手术开始前,咪唑安定0.1mg·kg-1。术中根据患儿心率及体动情况间断静注氯胺酮1~2mg·kg-1。结果:M、N两组麻醉效果评价N组明显优于M组(P<0.01)。麻醉苏醒时间两组无明显差异(P>0.05)。结论:氯胺酮合用咪唑安定可使麻醉安静平稳。

【Abstract】 Objective To investigate the effects of midazolam on children accepted basic anesthesia combine plexas sacralis . Methods Sixty children aged from 2 to 10 years undergoing lower abdominal surgery were randomly divided into two groups in operation room (M and N).Children were injected in ktamine(4~6 mg·kg-1)used 0.25%Bupricaine(0.8 mg·kg-1) in plesus sacralis in operationroom.The children in group M were administered interavenously ketamine needly.The children in guoup N were administered ketamine 1~2 kg and medzolam 0.1mg/kg before operation.The children in froup N were daministed ketamine 1~2 mg/kg needly during operation. Result The anesthesia effect of group N is significantly better than that of group M (P<0.01)Conclusion The combination of midazolam with ketamine is helpful to maintain conthesia stable and quite.

【关键词】 基础麻醉氯胺酮咪唑安定
【Key words】 basic anesthesiaketaminemedzolam
  • 【文献出处】 安徽卫生职业技术学院学报 ,Journal of Anhui Health Vocational & Technical College , 编辑部邮箱 ,2004年05期
  • 【分类号】R726.1
  • 【被引频次】1
  • 【下载频次】30
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