简介:摘要目的研究小儿区域麻醉应用亚麻醉剂量氯胺酮-芬太尼的效果。方法2016年4月-2018年7月本院接诊且行手术治疗的患儿72例,利用随机数表法分成实验和对照两组(n=36)。实验组采取亚麻醉剂量氯胺酮-芬太尼方案,对照组采取氯胺酮方案。分析两组呼吸频率和心率的变化情况,比较氯胺酮用量等指标。结果实验组手术结束时的呼吸频率和心率优于对照组,P<0.05。实验组的睁眼时间和完全清醒时间比对照组短,P<0.05。实验组的氯胺酮用量为(65.71±8.54)ug,比对照组的(154.29±23.14)ug少,P<0.05。结论运用亚麻醉剂量氯胺酮-芬太尼方案,可显著提高小儿区域麻醉的效果,维持稳定的生命体征,促进术后清醒。
简介: 【摘 要】 目的:比较三种不同麻醉剂联合无抽搐电休克治疗用于难治性抑郁症患者的疗效。方法:选择本院 10例难治性抑郁症患者作为研究对象,随机分为研究组和对照组,研究组采用三种不同的麻醉剂联合无抽搐电休克治疗,对照组常规药物治疗,对比疗效差异。结果:治疗后,研究组认知功能改善情况、抑郁评分情况、社会功能改善情况均显著优于对照组,差异显著( P<0.05)。结论:三种麻醉剂联合无抽搐电休克治疗难治性抑郁症对患者的认知情况改善,抑郁评分情况改善更加有效。 【关键词】 麻醉剂 ;无抽搐电休克 ;难治性抑郁 ;认知功能 [Abstract] Objective: To compare the efficacy of three different anesthetics combined with non convulsive electroconvulsive therapy in patients with refractory depression. Methods: 10 patients with refractory depression in our hospital were randomly divided into study group and control group. The study group was treated with three different anesthetics combined with non convulsive electroconvulsive therapy, while the control group was treated with conventional drugs, and the therapeutic effect was compared. Results: after treatment, the improvement of cognitive function, depression score and social function in the study group were significantly better than those in the control group (P < 0.05). Conclusion: three kinds of anesthetics combined with electroconvulsive therapy can improve the cognitive status of patients with refractory depression, and improve the depression score more effectively.
简介:摘要目的观察亚麻醉剂量氯胺酮治疗无痛人工流产术后宫缩痛的疗效.方法挑选在我院进行无痛人工流产术的患者140例,患者的收治时间均在2012年6月~2015年3月期间,将140例接受无痛人工流产术的患者通过电脑随机分成两组,每组各有患者70例,其中一组患者进行常规的麻醉,称为单一组,另一组患者在进行麻醉前,给予亚麻醉剂氯胺酮进行静脉注射,称为联合组,记录单一组患者及联合组患者在麻醉后的呼吸频率、血压、心率、氧分压,以及手术结束后的苏醒时间,并采用模糊数字评分法对单一组患者及联合组患者的宫缩疼痛程度进行评分,将各项数据进行比较.结果联合组患者在呼吸频率、血压、心率、氧分压、苏醒时间等方面与单一组患者无明显差异,不存在统计学意义(即P>0??05);联合组患者的宫缩痛评分为(2??08±0??35)分,明显低于单一组患者的宫缩痛评分(4??67±0??83)分,差异存在统计学意义(即P<0??05).结论亚麻醉剂氯胺酮能有效缓解无痛人工流产术患者术后的宫缩痛,减轻患者的痛苦,推荐临床应用.关键词亚麻醉剂氯胺酮;无痛人工流产手术;宫缩痛;疗效AbstractObjectiveToobservetheanestheticdoseketaminetreatmentthecurativeeffectofpainlessabortionharemshrinkagepain??MethodsSelectedinourhospitalinpainlessinducedabortionoperationof140casesofpatients,thepatientstreatedtimeinJune2012~March2015,140casesinpatientsundergoingpainlessinducedabortionoperationbycomputerrandomlydividedintotwogroups,eachgrouphas70casesofpatients,onegroupofpatientswithgeneralanestheGsia,referredtoasasinglegroup,anothergroupofpatientsbeforeundergoinganesthesia,givingtheanestheticketamineintravenousinjection,calledjointgroup,recordingasinglegroupofpatientsandthejointgroupofpatientsafteranesthesiabreathingrate,bloodpressure,heartrate,oxygenpartialpressure,andwakeupoftimeaftertheoperation,andUSESthefuzzyNumbersscoringmethodforasinglegroupofpatientsandthejointgroupofpatientswithcontractionspaindegreeevaluation,wecomparethedata??ResultsThegroupofpatientsinbreathingrate,bloodpressure,heartrate,oxygenpartialpressureandawakeningtimeandsinGglegroupofpatientswithoutobviousdifference,thereisnostatisticalsignificance(P>0??05);Forjointgroupofpatientswithcontractionspainscore(2??08±0??35),significantlylowerthanthatofasinglegroupofpatientswithcontractionspainscore(4??67±0??83)points,differencesarestatisticallysignificant(P<0??05)??ConclusionTheanestheticketaminecaneffectivelyalleviatethecontractionsofpainlessabortionpatientswerepain,relievethesufferingofthepatients,recomKmeeyndweodrdisnclinicalapplication??Theanestheticketamine;Painlessartificialabortion;Contractionspain;Thecurativeeffect中图分类号R969.4文献标识码B文章编号1008-6315(2015)12-0843-02