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目的观察亚麻醉剂量的氯胺酮加芬太尼在辅助临床小儿区域麻醉中的效果。方法随机将本院收治的86例需行四肢或腹部手术治疗的患儿分成甲、乙两组,各38例,甲组接受传统氯胺酮麻醉,乙组为亚麻醉剂量的氯胺酮加芬太尼来辅助区域麻醉,观察两组麻醉效果。结果乙组患儿呼吸频率(RR)、心率(HR)与平均的动脉压(MAP)以及血氧饱和度(Sp O2)均低于甲组,差异具有统计学意义(P<0.05),效果更好,不良反应的发生情况也少于甲组。结论采用亚麻醉剂量的氯胺酮加芬太尼给予临床小儿患者以区域麻醉,效果比较显著,且患儿的不良反应也比较少,值得大力推广。
Objective To observe the effect of sub-anesthetic ketamine plus fentanyl in adjuvant clinical pediatric regional anesthesia. Methods A total of 86 children admitted to our hospital who underwent surgical treatment of limbs or abdomen were randomly divided into two groups (A and B), 38 cases each. Group A received conventional ketamine anesthesia and group B received sub-anesthetic ketamine plus fentanyl Auxiliary regional anesthesia, anesthesia observed two groups. Results Respiratory rate (RR), heart rate (HR), mean arterial pressure (MAP) and oxygen saturation (Sp O2) in group B were significantly lower than those in group A (P <0.05) Better, less adverse reactions occurred in Group A. Conclusions The anesthetic dose of ketamine plus fentanyl to patients in clinical pediatric patients with regional anesthesia, the effect is more significant, and children with less adverse reactions, it is worth promoting.