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目的:分析氯胺酮复合利多卡因、异丙酚以及咪唑地西泮在治疗小儿眼科手术在不同年龄段的临床治疗的效果。方法:选取200例患有眼科疾病的患儿,其中男114例,女86例,年龄1个月～9岁,体重5～30kg,所有患者都没有先天性的疾病。按照年龄把患者氛围三组,1个月～3岁的患儿一共有62例,分为A组,所用的药物为氯胺酮和利多卡因两种;6～9岁的患儿一共有71例,分为B组,所用的药物为氯胺酮和咪唑地西泮两种;6～9岁的患儿一共有67例,分为C组,所用药物为氯胺酮和异丙酚两种,在治疗过程当中要观察患儿各种并发症的发生概率。结果:三组治疗当中的并发症的发生概率差异无统计学意义(P<0.05)。结论:氯胺酮在与其他药物结合起来治疗小儿眼科麻醉是有效的,而且是安全的。
Objective: To analyze the clinical effect of ketamine combined with lidocaine, propofol and midazolam in the treatment of pediatric ophthalmic surgery at different ages. Methods: A total of 200 children with ophthalmological diseases were selected, including 114 males and 86 females, aged from 1 month to 9 years and weighing 5-30 kg. All patients had no congenital diseases. According to the age of the patient atmosphere in three groups, 1 month to 3 years old a total of 62 patients were divided into group A, the drugs used are ketamine and lidocaine two; 6 to 9-year-old children a total of 71 cases , Divided into group B, the drugs used for two ketamine and imidazole diazepam; 6 to 9-year-old children a total of 67 cases, divided into C group, the drugs used are ketamine and propofol two kinds, in the course of treatment Which should observe the incidence of various complications in children. Results: There was no significant difference in the incidence of complications between the three groups (P <0.05). Conclusions: Ketamine is effective and safe in the treatment of pediatric ophthalmic anesthesia in combination with other drugs.