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目的:观察亚麻醉剂量氯胺酮-芬太尼辅助小儿区域麻醉的临床效果。方法:选取该院2013年4月至2015年1月接诊的需要进行四肢、腹部手术的3~14岁患儿86例按照抽签法随机分为观察组(n=43)和对照组(n=43),观察组患者采用亚麻醉剂量氯胺酮-芬太尼辅助区域阻滞麻醉,对照组患者则采用氯胺酮来进行麻醉,观察两组患者的临床麻醉效果及不良反应的发生情况。结果:在对两组患者的临床症状的观察中,两组患者的术中心率、呼吸频率、脉搏氧饱和度、术毕唤醒时间、术后烦躁、呼吸抑制、术后恶心呕吐等的比较上,观察组患者明显低于对照组,组件差异比较明显,具有统计学意义(P<0.05);在对两组患者的不良反应的观察中,观察组患者的整体治疗状况良好,无明显不良反应,对照组中有4例患者出现不良反应,组间差异比较明显,具有统计学意义(χ~2=4.144 6;P>0.05)。结论:使用亚麻醉剂量氯胺酮-芬太尼辅助小儿区域麻醉的临床效果较好,患者在治疗中所需的唤醒时间较少,并且患者的整体麻醉效果较好,无不良反应出现,有效缓解患者的病痛,具有较高的临床意义,值得推广。
Objective: To observe the clinical effect of sub-anesthetic ketamine-fentanyl assisted regional anesthesia in children. Methods: Eighty-six children aged 3-14 years who underwent limbs and abdomen surgery from April 2013 to January 2015 in our hospital were randomly divided into observation group (n = 43) and control group (n = 43) = 43). Patients in the observation group were anesthetized with ketamine-fentanyl adjuvant block anesthesia while those in the control group were anesthetized with ketamine. The clinical effects and adverse reactions of the two groups were observed. Results: In comparing the clinical symptoms of two groups of patients, the two groups of patients in the surgery center rate, respiratory rate, pulse oxygen saturation, postoperative awakening time, postoperative irritability, respiratory depression, postoperative nausea and vomiting compared , The observation group was significantly lower than the control group, the components were significantly different, with statistical significance (P <0.05); adverse reactions in the observation of two groups of patients, the observation group patients overall treatment is good, no significant adverse reactions , 4 patients in the control group showed adverse reactions, the difference between the groups was obvious, with statistical significance (χ ~ 2 = 4.144 6; P> 0.05). CONCLUSIONS: The use of sub-anesthetic ketamine-fentanyl to assist pediatric regional anesthesia is clinically effective and requires less time for recovery from therapies and better general anesthesia and no adverse reactions in patients with effective remission The pain, with high clinical significance, it is worth promoting.