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目的探析临床小儿区域麻醉中的氯胺酮和芬太尼的应用价值。方法我院对收治的行手术治疗的住院患儿106例按照随机数字法则划分为对照组和观察组53例,对照组53例患儿术中仅给予氯胺酮进行麻醉,观察组53例患儿术中给予氯胺酮联合芬太尼进行区域麻醉。对两组患儿麻醉效果及各项临床指标进行记录与分析。结果观察组麻醉过程中心率、呼吸频率及平均动脉压等体征均优于对照组,P<0.05;观察组患儿的唤醒时间、氯胺酮追加次数及氯胺酮用量均优于对照组,P<0.05。结论在小儿区域麻醉操作中给予氯胺酮联合芬太尼进行麻醉能取得良好的效果,可保证手术的顺利进行,且能在术后尽早唤醒患儿,值得临床推广。
Objective To investigate the clinical value of ketamine and fentanyl in clinical pediatric anesthesia. Methods A total of 106 hospitalized children undergoing surgical treatment were divided into control group and observation group according to random number rule. In the control group, 53 children were given ketamine for anesthesia only. 53 children in observation group Regional ketamine and fentanyl were given regional anesthesia. On the two groups of children anesthesia effects and clinical indicators were recorded and analyzed. Results In the observation group, heart rate, respiratory rate and mean arterial pressure were better in the observation group than those in the control group (P <0.05). Arousal time, ketamine addition and ketamine levels in the observation group were all better than those in the control group (P <0.05). Conclusion Anesthesia with ketamine combined with fentanyl in pediatric regional anesthesia can achieve good results, which can ensure the smooth operation and wake up the child as soon as possible after operation, which is worthy of clinical promotion.