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氯胺酮静脉滴注与静脉推注在小儿唇裂修复术中的应用比较 被引量:2

THE COMPARISION OF GIVING KETAMIN BY INTRAVENOUS DRIP OR INTRAVENOUS INJECTION IN THE PEDOCHILOHAPHY OPERATION
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摘要 目的 观察氯胺酮不同使用方法在小儿唇裂修复术中的用药量及对病人的影响。方法  40例行唇裂修复术患儿 ,随机分为两组 ,每组 2 0例。A组 :氯胺酮静脉滴注麻醉 ;B组 :氯胺酮静脉推注麻醉。观察氯胺酮用药量及术中患儿心率变化。结果 A组氯胺酮用量为 1 2 7.1 5± 1 4 .0 0mg ;B组用药量为 1 73.75± 2 9.76mg ,与A组比较有显著性差异 (P <0 .0 1 ) ,A组手术开始时和术中心率变化 1 0 .1 5± 1 2 .30次 /分 ,无显著性差异 (P >0 .0 5 ) ;B组心率变化 1 7.0 0± 7.90次 /分 ,有显著性差异 (P <0 .0 5 )。结论 氯胺酮静脉滴注较静脉推注维持麻醉用药量低且麻醉平稳 。 Objective To investigate the infection and dosage of different ways in using Ketamin in the pedocheilohaphy. Methods 40 children who will be given the cheilorrhaphy were divided into two groups . Group A:The children were given Ketamin by intravenous drip .Group B:The children were given Ketamin by intravenous injection and observed the different dosage of the two group and the changes of their heart rates . Results The dosage of group A was 127.15±14.00mg, and it was 137.75±29.76mg in group B(P<0.01).In group A,the changes of their rate was 10.15±12.30bpm,so there aren't significant differences(P<0.01),And in group B ,it was 17.00±7.9bpm,so it`s quiet different(P<0.05).Conclusion In the cheilorraphy,it is better to use Ketamin by intravenous drip than by intravenous injection,because the first way has a lower dosage and is more stable.
作者 赵世军
出处 《青海医学院学报》 CAS 2003年第3期174-175,共2页 Journal of Qinghai Medical College
关键词 氯胺酮 静脉滴注 静脉推注 小儿 唇裂 修复术 应用比较 Comparison Ketamin intravenous drip intravenous injection
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