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目的:探讨小二腰硬联合麻醉的临床效果。方法:本文选择100例,4-12岁儿童脐以下部位手术,患儿随机分为A、B两组,A组单独采用氯胺酮进行麻醉,B组采用腰硬联合麻醉。结果:A、B两组麻醉苏醒时间(38.47±5.46)min和(16.62±6.38)min,P<0.01。麻醉效果:HR、RR、镇静均P<0.05;术中不自主肢动发生率A组高于B组(P<0.01)。术中B组低氧血症发生率低,呼吸抑制轻。结论:B组麻醉方法对脐以下手术安全有效,操作简单,采用长效局麻药更有利于术后较长时间的镇痛。但由于有些小二部合作,常需给予镇静、镇痛辅助麻醉。
Objective: To investigate the clinical effect of small lumbar and hard anesthesia. Methods: In this study, 100 cases of children aged 4-12 years underwent umbilical cord operation. The children were randomly divided into A and B groups. A group was anesthetized with ketamine alone and B group was treated with combined spinal and epidural anesthesia. Results: The recovery time of anesthesia in group A and group B was (38.47 ± 5.46) min and (16.62 ± 6.38) min, respectively, P <0.01. The effects of anesthesia were HR, RR and sedation (P <0.05). The incidence of involuntary limb movements in group A was higher than that in group B (P <0.01). Intraoperative B group hypoxemia incidence is low, respiratory depression. Conclusion: The anesthesia method in group B is safe and effective for the operation below the umbilicus, and the operation is simple. The use of long-acting local anesthetic is more conducive to analgesia after a long period of time. However, due to some small two cooperation, often need to give sedation, analgesia-assisted anesthesia.