安徽医科大学学报2001，Vol.36Issue(1)：33-35,3.
氯胺酮和异丙酚对小儿眼内压的影响
Effects of anesthesia with ketamine or propofol on intraocular pressure in pediatric patients
吴蓉蓉 1戴秀萍 1张家东2
作者信息
- 1. 安徽医科大学第一附属医院麻醉科
- 2. 安徽省六安市妇幼保健院
- 折叠
摘要
Abstract
Objective To observe the influence of intravenous anesthesia with ketamine or propofol on intraocular pressure (IOP) in pediatric patients. Methods 27 pediatric patients, ASA grade Ⅰ～Ⅱ, were divided into ketamine and propofol groups. Basic anesthesia was conducted with ketamine 4～6 mg*kg-1 combined droperidol 0.04～0.1 mg*kg-1 intramuscularly. Anesthesia maintained with continous infusion of 0.04% ketamine or 0.04% propofol following intravenous bolus of ketamine 1 mg*kg-1 or propofol 1 mg*kg-1 in ketamine group and propofol group respectively. IOP, systemic blood pressure(SBP), diastolic blood pressure(DBP), heart rate(HR) and pulse oxygen saturation(SpO2) were measured at 10 minutes after basic anesthesia, 3 minutes after intravenous bolus of ketamine or propofol and end of surgery. Results There were no differences in IOP between two groups after basic anesthesia. IOP increased or decreased significantly after intravenous bolus of ketamine or propofol respectively. IOP in ketamine group decreased near to the level in propofol group at end of surgery. There were no statistic differences in SBP, DBP and HR between two groups priopration. SpO2 did not change (but in one patient decreasing to below 95% ) and significantly decreased within 5 minutes of intravenous bolus of ketamine and propofol respectively. Conclusion Ketamine increases IOP propofol decreases IOP. Ketamine combined propofol can keep from increase of IOP but strength respiration inhibition.关键词
氯胺酮/药理学/二异丙酚/药理学/眼内压/药物作用分类
医药卫生引用本文复制引用
吴蓉蓉,戴秀萍,张家东..氯胺酮和异丙酚对小儿眼内压的影响[J].安徽医科大学学报,2001,36(1):33-35,3.
