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目的:比较单纯氯胺酮和氯胺酮复合利多卡因局麻用于小儿疝气手术麻醉的效果。方法:随机选择对照组26例(氯胺酮)和实验组(氯胺酮复合利多卡因局麻)26例,观察患儿围术期心率、呼吸频率、肢动以及氯胺酮总用量、术中应用次数和术后苏醒时间等指标。结果:与对照组相比,实验组术中心率、呼吸频率变化不大、肢动不明显、术中追加氯胺酮的次数减少、氯胺酮总用量减少(P<0.05)、术后苏醒时间缩短(P<0.01)。手术后24h内,实验组患儿无哭闹,未有疼痛不适的表现。结论:小儿疝气手术应用氯胺酮复合利多卡因局部麻醉安全性高.苏醒时间短,并发症少,效果明显。
Objective: To compare the effects of simple ketamine and ketamine combined with lidocaine for anesthesia in pediatric hernia. Methods: 26 patients (ketamine) in control group and 26 patients in experimental group (ketamine and lidocaine combined with local anesthesia) were randomly selected. The perioperative heart rate, respiratory rate, limb movement, total ketamine dosage, After wake up time and other indicators. Results: Compared with the control group, the rate of heart rate and respiratory rate in the experimental group changed little, the limb movement was not obvious, the number of ketamine added during operation was decreased, the total ketamine dose was decreased (P <0.05), and the postoperative wake recovery time was shortened <0.01). Within 24 hours after operation, the experimental group had no crying and no pain or discomfort. Conclusion: Local anesthesia with ketamine combined with lidocaine in pediatric hernia is safe, recovery time is short, complications are low and the effect is obvious.