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目的对不同麻醉方式在小儿下腹部手术中的应用效果进行观察。方法 80例行下腹部手术患儿,随机分为实验组和对照组,各40例。对照组给予丙泊酚复合氯胺酮治疗,实验组给予丙泊酚复合氯胺酮加硬膜外穿刺治疗,观察两组临床疗效。结果实验组总不良反应率为15.00%,对照组为60.00%,两组比较差异有统计学意义(P<0.05),实验组麻醉满意率为95.00%,对照组为82.50%,两组比较差异有统计学意义(P<0.05)。结论对小儿下腹部手术采用丙泊酚复合氯胺酮加硬膜外穿刺治疗,效果明显,患儿不良反应少,值得在临床上大力推广。
Objective To observe the effect of different anesthesia in pediatric lower abdominal surgery. Methods Eighty children undergoing abdominal surgery were randomly divided into experimental group and control group, 40 cases each. The control group was treated with propofol combined with ketamine. The experimental group was given propofol combined with ketamine plus epidural puncture. The clinical curative effect was observed in both groups. Results The total adverse reaction rate was 15.00% in the experimental group and 60.00% in the control group, with significant difference between the two groups (P <0.05). The satisfactory rate of anesthesia was 95.00% in the experimental group and 82.50% in the control group There was statistical significance (P <0.05). Conclusion Propofol combined with ketamine plus epidural puncture for pediatric lower abdominal surgery has obvious effect and few adverse reactions in children. It is worth clinical promotion.