Title: Effect of small dose of fentanyl combined with ketamine- propofol in intravenous anesthesia in children
Abstract: Objective To observe the effect of small dose of fentanyl combined with ketamine- propofol in intravenous anesthesia,and to provide the reference for the clinical anesthesia scheme selection. Methods 78 patients were selected into this study. They were randomly divided into observation group and control group with 39 cases in each. The control group using ketamine combined with propofol anesthesia. The observation group was treated with small dose of fentanyl and ketamine propofol anesthesia. The two groups of patients during anesthesia heart rate( HR),respiratory rate( RR),oxygen saturation( Sp O2) and recovery after operation,and uses the 11 point numeric rating scale were assessed after 24 h of pain. Results The RR,HR at 5 min after anesthesia,10 min after anesthesia of two groups children were significantly higher than before anesthesia( P 0. 05). The comparison of Sp O2 before and after anesthesia,the differences were not statistically significant( P 0. 05). The patients in the observation group is fully awake. These patients can follow the doctor's advice to cough,limb can be conscious activity. The ratio of these patients was significantly higher than that of control group( P 0. 05). The proportion of 1 h painless patients in the observation group was56. 41%. The ratio of 6 h painless postoperative was 46. 15%. The ratio of 24 h painless postoperative was 38. 46%,which is significantly higher than that of control group( all P 0. 05). Conclusion Small dose of fentanyl ketamine,propofol anesthesia has good analgesic effect. Circulation system on children's influence is small,postoperative recovery time is short,good analgesic effect,less adverse reaction,pediatric intravenous anesthesia is a ideal method.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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