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[目的]观察七氟醚吸入麻醉在小儿短小手术中的临床应用价值.[方法]68 例小儿短小手术患儿按照单双号平均分配的方法分为两组,每组 34 例,观察组给予面罩吸入七氟醚诱导,对照组给予氯胺酮麻醉诱导,观察比较两组患儿麻醉诱导时间、术后苏醒时间、平均动脉压(MAP)、心率(HR)、SpO2及不良反应发生情况.[结果]观察组患儿麻醉诱导时间和术后苏醒时间较对照组均显著缩短,且差异有显著性(P ＜0.05).诱导后观察组患儿 MAP、HR指标较对照组明显降低,且差异均有显著性(P ＜0.05),观察组恶心呕吐、分泌物增多、喉痉挛等不良反应发生率显著低于对照组(P ＜0.05).[结论]七氟醚吸入麻醉在小儿短小手术中具有诱导时间短、术后苏醒快、血流动力学影响小,疗效安全等优点,值得临床推广使用.“,”[Objective]To evaluate the clinical application value of sevoflurane inhalation anesthesia in fast-track infant operation.[Methods]A total of 68 children undergoing fast-track infant operation were divided into two groups by odd and even numbers,with 34 cases in each group.The observation group was given mask in-halation of sevoflurane for induction while the control group was given ketamine anesthesia induction.The an-esthesia induction time,postoperative recovery time,mean arterial pressure (MAP),heart rate (HR),SpO2 and the incidence of adverse reactions were recorded and compared.[Results]The anesthesia induction time and postoperative recovery time of the observation group were significantly shorter than those of the control group (P ＜0.05).After the induction,MAP and HR of the observation group were significantly lower than those of the control group (P ＜0.05).The incidence rates of nausea and vomiting,increased secretions,laryngeal spasm in the observation group were significantly lower than those in the control group (P ＜0.05).[Conclu-sion]Sevoflurane inhalation anesthesia has the advantages of short induction time,quick postoperative recovery and little effect on hemodynamics in fast-track infant operation.It is safe and worthy of clinical use.