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目的探讨氯胺酮、咪唑安定合剂(氯咪合剂)术前口服和肌内注射在小儿基础麻醉中的临床效果。方法 240例拟行小儿基础麻醉的患儿随机分为A、B、C三组,每组80例。A组采用氯咪合剂口服,B组采用氯咪合剂肌内注射,C组采用单纯氯胺酮肌内注射,比较三组患儿镇静效果、遗忘程度、自愿接受率。结果 A、B组镇静效果、遗忘程度均优于对照组,差异有统计学意义(P<0.05),A组自愿接受率明显高于B、C组,差异有统计学意义(P<0.05)。结论口服氯咪合剂是一种更好的术前小儿基础麻醉方法 ,患儿自愿接受率、镇静效果、遗忘程度均较高,值得临床推广应用。
Objective To investigate the clinical effect of ketamine and midazolam combined with oral and intramuscular injection in pediatric basic anesthesia before operation. Methods 240 cases of pediatric basic anesthesia were randomly divided into A, B, C three groups, each group 80 cases. Group A was treated with clomiphene hydrochloride, group B was treated with clomiphene, and group C was injected with ketamine alone. The sedation, amnesia and voluntary acceptance rates of the three groups were compared. Results The sedation and amnesia degree of group A and group B were better than that of control group (P <0.05). The voluntary acceptance rate of group A was significantly higher than that of group B and C (P <0.05) . Conclusion Oral clomipramine is a better method of preoperative pediatric basic anesthesia. The voluntary acceptance rate, sedation effect and amnesia of children are higher, which is worthy of clinical application.