小儿唇腭裂修复术不同麻醉方法比较

摘要

目的：比较小儿唇腭裂修复术不同麻醉方法的安全性。方法：60例在全麻下行唇腭修复术的小儿随机分为三组：A组氯胺酮+r-羟丁酸钠；B组氯胺酮+异丙酚；C组氯胺酮+异氟醚。术后随访并记录苏醒时间、氯胺酮用量、再嗜睡时间、恶心呕吐例数。结果：苏醒时间及恶心呕吐例数C组＜B组＜A组，差异非常显著；C组嗜睡例数明显少于B组或A组，并减少了氯胺酮用量。结论：0.1%氯胺酮静脉滴注并吸入1～2%异氟醚是小儿唇腭裂修复术较好的麻醉方法。%Objective: To compare the safety of different anesthesia methods for the repair of cleft lip and palate in children.Method: Sixty children undergoing the repair of cleft lip and palate under general anesthesia, were randomly assigned to three groups. Group A:ketamine+r-OH, Group B:ketamine + propofol, Group C: ketamine + Isoflurane. The quantity of ketamine, time of revival, individals of lethargy, vomiting were assessed after operation.Result: The time of revival and the individals of vomiting were less in group C than in group B, and group B less than group C too. The individals of lethargy and the quantity of ketamine were less in group C than in group B and group A. Conclusion: It is a better method to drip intravenously 0.1% ketamine and inhale Isoflurane for the repair of cleft lip and palate in children.