摘要
目的比较三种麻醉方法对小儿胃镜检查中体动的影响,筛选最佳麻醉方案。方法选择60例择期行胃镜检查的6～12岁患儿,随机分为丙泊酚组(A组)、丙泊酚复合芬太尼组(B组)和丙泊酚复合氯胺酮组(C组),每组20例。A组静注丙泊酚3 mg/kg;B组静注芬太尼1μg/kg、丙泊酚3 mg/kg;C组静注氯胺酮1 mg/kg、丙泊酚3 mg/kg。记录术中和术后MBP、HR、SpO2及术中体动情况、术后出PACU时间。结果 C组术中和术后MBP、HR较A、B两组高(P<0.05);B、C组体动发生率较A组明显降低(P<0.05),C组出PACU时间较A、B两组长(P<0.05)。结论丙泊酚复合芬太尼可有效降低小儿无痛胃镜检查中体动的发生率,减少在PACU的观察时间,值得临床推广应用。
Objective To compare the influences of three types of anesthetic techniques on the body movement in pediatric gastroscopy and screen out the optimum anesthesia solution. Methods Sixty children, aged 6 to 12 years old, receiving elective gastroseopy were randomly divided into the propofol group （group A）, the propofol combined with fentanyl group （group B） and the propofol combined with ketamine group （Group C）, with 20 patients in each group. Group A received in- travenous injection of propofol 3 mg/kg; Group B received intravenous injection of fentanyl 1 μg/kg and propofol 3 mg/kg; Group C received intravenous injection of ketamine lmg/kg and propofol 3 mg/kg. Intraoperative and postoperative MBP, HR and SpO2, intraoperative body movement and postoperative post-anesthesia care unit （PACU） leave time were recorded. Results The intraoperative and postoperative MBP and HR in group C were higher than those in group A and group B （P 〈 0.05）; The incidence of body movement in group B or group C was lower than that of group A （P 〈 0.05）; The PACU leave time in group C was longer than that of group A or group B （P 〈 0.05）. Conclusion Propofol combined with fentanyl can effectively reduce the incidence of body movement in painless pediatric gastroscopy and reduce the observation time in PACU, thereby worthy of clinical application.
出处
《中国现代医生》
2012年第18期78-79,共2页
China Modern Doctor
关键词
胃镜
体动
芬太尼
氯胺酮
小儿
Gastroscopy
Body movement
Fentanyl
Ketamine
Pediatric
