摘要
目的 探讨氯胺酮及异丙酚复合麻醉下斜视矫正手术中眼心反射的影响。方法 随机选择斜视患儿120例,分为两组,A组为氯胺酮及安定复合静脉麻醉,B组为氯胺酮及异丙酚复合麻醉组。术中观察心率变化情况。结果 A组麻醉后心率加快比B组明显(P<0.05);A组有28例,而B组只有8例出现眼心反射,两组间差异具有非常显著性意义(P<0.01);B组平均手术时间短,术后苏醒快。结论 氯胺酮+异丙酚静脉复合麻醉比氯胺酮+安定麻醉效果好,眼心反射发生率低。
Objective To observe the effect of the compound anesthesia with Ketamine and Isopropy phenol for eye-heart reflex in strabismus operation. Methods 120 children of strabismus were divided into two groups by random methods. The A group was given with Ketamine and Valium compound anesthesia. The B group was given with Ketamine and Isopropy phenol. The heart rate(HR) was observed during operation. Results The group A had rapider HR than the B group (P<0.05). There was 28 cases occur eye-heart reflex in the group A .There was only 8 cases occur eye-heart reflex in the group B. There was significant difference between the two groups(P<0.01). In the B group, its average time of the operation was shorter and the time of waked up was rapider after operation. Conclusion The compound anesthesia with Ketamine and Isopropy phenol has better effect and the ratio of eye-heart reflex was lower than with Ketamine and Valium in strabismus operation.
出处
《眼外伤职业眼病杂志》
北大核心
2003年第11期769-770,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
