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目的:探究氯胺酮异丙酚复合利多卡因用于小儿手术麻醉的临床效果,探究其应用价值。方法:选取2013年4月-2014年4月来我院择期手术患儿76例为研究对象,将其分成观察组与对照组,对照组单用氯胺酮麻醉,观察组利用氯胺酮异丙酚复合利多卡因进行麻醉,对两组患者的麻醉效果以及不良反应情况进行全面比较。结果:和对照组相比,观察组患者术中,诱导后以及术后HR以及MAP明显下降,在围手术期内,对比组有23例患者出现了不良反应,发生率为60.53%;观察组有5例出现了不良反应,发生率为13.16%,和对照组相比,观察组发生不良反应例数明显较少,P<0.05。结论:在对小儿患者实施麻醉过程中,使用异丙酚,氯胺酮联合利多卡因进行治疗,能够取得较为满意的效果,值得进一步推广使用。
Objective: To investigate the clinical effect of ketamine combined with propofol and lidocaine for anesthesia in pediatric surgery and explore its application value. Methods: From April 2013 to April 2014, 76 children with elective surgery in our hospital were selected as the study objects, which were divided into observation group and control group. The control group was anesthetized with ketamine alone. The observation group was treated with ketamine combined with propofol Anesthetic anesthesia, anesthesia in both groups of patients as well as adverse effects of a comprehensive comparison. Results: Compared with the control group, the HR, MAP and MAP of the observation group decreased significantly during operation, after induction and after operation. In the perioperative period, 23 patients in the control group experienced adverse reactions with a rate of 60.53%. In the observation group There were 5 cases of adverse reactions, the incidence was 13.16%, compared with the control group, the observation group had fewer adverse reactions, P <0.05. Conclusion: In the process of anesthesia in pediatric patients, the use of propofol, ketamine combined with lidocaine for treatment, can achieve more satisfactory results, it is worth further promotion.