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目的评价MAC麻醉技术用于儿童白内障手术的效果。方法白内障超声乳化+人工晶体植入术患儿100例(145眼),随机分为伍用异丙酚、氯胺酮、芬太尼的MAC组和单纯氯胺酮组,观察术中MAP、HR、SPO_2、眼压情况和术后情况并比较评价。结果氯胺酮组MAP、HR、眼压均较基础值和MAC组高、SPO_2明显下降(P<0.05),MAC组各指标术中无明显变化(P>0.05),术后苏醒较快。结论对儿童白内障手术伍用异丙酚、氯胺酮和芬太尼的MAC麻醉方法是一种安全、有效、快捷、经济的方法。
Objective To evaluate the effect of MAC anesthesia on cataract surgery in children. Methods One hundred patients (145 eyes) with phacoemulsification and intraocular lens implantation were randomly divided into five groups: MAC, ketamine, ketamine, fentanyl and ketamine groups. MAP, HR, SPO 2, Pressure conditions and postoperative conditions and more evaluation. Results The MAP, HR, intraocular pressure of ketamine group were higher than those of the baseline and MAC group, and the SPO 2 was significantly decreased (P <0.05). There was no significant change in each index of MAC group (P> 0.05). Conclusion MAC anesthesia with propofol, ketamine and fentanyl for cataract surgery in children is a safe, effective, rapid and economical method.