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目的探讨七氟醚复合丙泊酚在小儿外科短小手术中的应用价值。方法 80例男性择期手术患儿根据麻醉方法不同分为七氟醚复合丙泊酚组和氯胺酮组,各40例。比较两组麻醉效果。结果七氟醚复合丙泊酚组诱导时间、苏醒时间短于氯胺酮组,差异有统计学意义(P<0.05),七氟醚复合丙泊酚组患儿较容易接受,而单独使用氯胺酮诱导合作发生率低,术中肢体活动及苏醒期躁动发生率高(P<0.05)。两组患儿麻醉过程平稳,均无喉痉挛、呕吐、呼吸抑制的发生。结论七氟醚复合丙泊酚联合用药可减少药物用量使其麻醉充分、安全性提高,用于小儿手术麻醉,具有麻醉诱导快、麻醉效果确切、不良反应少等优点,值得临床推广。
Objective To investigate the value of sevoflurane combined with propofol in short surgical pediatric surgery. Methods Eighty male patients undergoing elective surgery were divided into sevoflurane combined propofol group and ketamine group according to the method of anesthesia, 40 cases in each group. Compare the two groups of anesthetic effects. Results The induction time and recovery time in sevoflurane combined with propofol group were shorter than those in ketamine group (P <0.05). Children in sevoflurane combined with propofol group were more likely to accept induction, while ketamine alone induced the cooperation The incidence was low, and the rate of intraoperative limb activity and wakefulness was high (P <0.05). Two groups of children with stable anesthesia, no laryngospasm, vomiting, respiratory depression. Conclusions The combination of sevoflurane and propofol can reduce the dosage of drugs to make it fully anesthetized and improve the safety. It is suitable for pediatric anesthesia and has the advantages of fast induction of anesthesia, exact anesthetic effect and few adverse reactions. It is worthy of clinical promotion.