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目的探究氯胺酮联合芬太尼在小儿区域麻醉中的应用价值。方法选取南华大学附属第一医院2013年3月—2014年3月收治的42例手术患儿,随机分为观察组和对照组,每组21例。对照组采用氯胺酮进行麻醉,观察组在此基础上联合芬太尼辅助麻醉。比较两组患儿术后苏醒时间(体动时间、离开手术室时间、完全清醒时间)及不良反应。结果观察组患儿体动时间、离开手术室时间、完全清醒时间均短于对照组,差异有统计学意义(P<0.05)。观察组患儿麻醉后不良反应发生率低于对照组,差异有统计学意义(P<0.037)。结论氯胺酮联合芬太尼麻醉能缩短患儿术后的苏醒时间,且不良反应小。
Objective To investigate the value of ketamine combined with fentanyl in pediatric regional anesthesia. Methods Forty-two children underwent surgery from the First Affiliated Hospital of Nanhua University from March 2013 to March 2014 were randomly divided into observation group and control group, 21 cases in each group. The control group was anesthetized with ketamine. On the basis of this, the observation group received fentanyl assisted anesthesia. The recovery time (body movement time, time to leave the operating room, complete awake time) and adverse reactions were compared between the two groups. Results The body movement time, the time to leave the operating room and the complete awake time in the observation group were all shorter than those in the control group (P <0.05). The incidence of adverse reactions in the observation group was lower than that of the control group after anesthesia, the difference was statistically significant (P <0.037). Conclusions Ketamine combined with fentanyl can shorten the recovery time after operation in children with less adverse reactions.