摘要
目的:探讨丙泊酚复合氯胺酮用于肛肠外科手术的麻醉效果及安全性。方法:将96例ASAⅠ～Ⅱ级住院痔瘘手术患者随机分成两组(ASAⅠ-Ⅱ),F组53例,K组43例,F组为丙泊酚+舒芬太尼组,K组为丙泊酚+氯胺酮组。结果:F组血压在T2较T1明显下降,HRT2较T1明显下降,呼吸抑制程度明显重于K组,具有统计学意义;K组MAP在T2较T1稍有升高,无统计学意义,SpO2在T2较T1无明显变化,无统计学意义;苏醒时间F组稍短于K组。结论:在无痛肛肠外科手术麻醉中,丙泊酚复合氯胺酮对患者呼吸的抑制及生命体征的影响较丙泊酚复合舒芬太尼更低。
Objective To explore the effect and safety of propofol combined ketamine for analgesia enterochirurgia operations. Methods 96 hemorrhoid and fistula patients were randomly divided into two groups：group F （propofol ＋ sufentanil ） with 53 patiants and group K （propofol ＋ ketamine ）with 43 patiants. Resuts The MAP and HR of group F were lower obviously at T1 compared to T2, and respiratory depression were severer compared to group K. The MAP of group K was higher, but were not statistically significant and SpO2 had no marked change at T2 compared to TI. Conclusion Compared to propofol combined sufentanil, propofol combined ketamine has less effet on respiratory depression and vital sign for analgesia enterochirurgia operations.
出处
《中国美容医学》
CAS
2012年第11X期191-192,共2页
Chinese Journal of Aesthetic Medicine
关键词
丙泊酚
舒芬太尼
氯胺酮
静脉麻醉
propofol
sufentanil
ketamine intravenous
anesthesia
