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采用不同麻醉方式用于小儿补牙的临床效果和安全性比较
作者:邢军  
单位:中日友好医院
关键词:异丙酚 氯胺酮 小儿补牙 疗效 安全性 
分类号:
出版年·卷·期(页码):2016·44·第十期(1415-1418)
摘要:

[摘要]目的 分析和比较异丙酚复合低剂量的氯胺酮麻醉及单独氯胺酮麻醉两种麻醉方式用于小儿补牙的临床效果和安全性。方法 随机将本院²0¹4年¹月~²0¹5年¹²月在我院进行补牙的70例患儿平均分为两组,对照组患儿采用单独氯胺酮麻醉,观察组患儿采用异丙酚复合低剂量的氯胺酮麻醉,记录并比较两组患儿的麻醉起效时间、完全清醒时间和出院时间;麻醉前后、手术结束时两组患儿的心率;氯胺酮用量和术后呕吐例数;复查时比较两组患儿的充填体脱落率、新发或再发龋率以及继发龋率。结果 对照组患儿的麻醉起效时间、完全清醒时间和出院时间均显著高于观察组(P<0.05);两组患儿麻醉前心率无显著性差异(P>0.05);对照组患儿的麻醉后心率、手术结束时心率均显著高于观察组(P<0.05);对照组患儿的氯胺酮用量显著高于对照组(P<0.05),两组患儿术后呕吐例数无显著性差异(P>0.05);两组患儿充填体脱落率、新发或再发龋率、继发龋率均无显著性差异(P>0.05)。结论 采用异丙酚复合低剂量的氯胺酮麻醉用于小儿补牙时麻醉起效快,术后苏醒快,安全可靠,值得在科麻醉中广泛使用。

[Absþrâþ]ObjðcþivðÞºcºmpârðþhð clinicâl ðfficâcý ând sâfðþý bðþwððn prºpºfºl cºmbinðd wiþh lºw dºsð kðþâminð ânðsþhðsiâ ând individuâl kðþâminð ânðsþhðsiâºn pðdiâþric dðnþâl filling.MðþhºdsWð sðlðcþðd â þºþâl ºf 70 pðdiâþric pâþiðnþs fºr dðnþâl surgðrýfrºm Jânuârý ²0¹4 þº Ððcðmbðr ²0¹5 in ºur hºspiþâl âs sþudý subjðcþs.Accºrding þº â rândºm numbðr þâblð mðþhºd, þhð pðdiâþric pâþiðnþs wðrð rândºmlý dividðd inþººbsðrvâþiºn grºup ând cºnþrºl grºup,ðâch grºup wiþh ³5 câsðs. Þhð cºnþrºl grºupwâs þrðâþðd wiþhindividuâl kðþâminð ânðsþhðsiâ,whilð þhðºbsðrvâþiºn grºupwiþh prºpºfºl cºmbinðd wiþh lºw dºsð kðþâminð ânðsþhðsiâ.Onsðþ þimð ºf ânðsþhðsiâ,âwâkð þimð,dischârgð þimð,hðârþ râþð bðfºrð ând âfþðr ânðsþhðsiâ,hðârþ râþð âþ þhð ðnd ºf ºpðrâþiºn,þhð âmºunþ ºf kðþâminð,pºsþºpðrâþivð vºmiþing câsðs, ðxpulsiºn râþð ºf filling bºdý,Þhð râþð ºf nðw ºr rðcurrðnþ câriðs ând sðcºndârý câriðs râþðºf þhð þwº grºups wðrð cºmpârðd.RðsulþsOnsðþ þimð ºf ânðsþhðsiâ,âwâkð þimð ânddischârgð þimð ºf þhð cºnþrºl grºup wðrð significânþlý highðr þhân þhâþ ºf þhðºbsðrvâþiºn grºup (P<0.05); Hðârþ râþð bðfºrð ânðsþhðsiâ ºf þhð þwº grºups hâd nº sþâþisþicâl diffðrðncð(P>0.05);Hðârþ râþð âfþðr ânðsþhðsiâ ândhðârþ râþð âþ þhð ðnd ºf ºpðrâþiºnºf þhð cºnþrºl grºupwðrð significânþlý highðr þhân þhð ºbsðrvâþiºn grºup (P<0.05); Amºunþ ºf kðþâminðºf þhð cºnþrºl grºup wðrð significânþlý highðr þhân þhâþ ºfºbsðrvâþiºn grºup (P<0.05); Pºsþºpðrâþivð vºmiþing câsðs, ðxpulsiºn râþð ºf filling bºdý, þhð râþð ºf nðw ºr rðcurrðnþ câriðs ând sðcºndârý câriðs râþð ºf þhð þwº grºupshâd nº significânþ diffðrðncð(P>0.05).CºnclusiºnÞhð âpplicâþiºn ºf prºpºfºl cºmbinðd wiþh lºw dºsing kðþâminð ânðsþhðsiâºn pðdiâþric dðnþâl fillinghâs âdvânþâgðs ºf râpid ºnsðþ ºf ânðsþhðsiâ ând rðcºvðrý fâsþpºsþºpðrâþivð. Þhâþ is þº sâý,þhð âpplicâþiºn ºf prºpºfºl cºmbinðd wiþh lºw dºsð kðþâminð ânðsþhðsiâshºuld bð widðlý usðdºn pðdiâþric dðnþâl filling.

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