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目的分析探讨丙泊酚复合芬太尼应用于小儿麻醉的有效性及安全性。方法选择行腹股沟区手术患儿68例,随机分为观察组和对照组各34例,观察组采用丙泊酚复合芬太尼辅助骶管麻醉;对照组采用氯胺酮全麻,观察记录麻醉诱导前、切皮时,手术开始10min、及术毕时、心率(HR)、呼吸频率(RR)、脉搏氧饱和度(SpO2),术后苏醒时间及并发症发生情况。结果观察组术中循环、呼吸功能较对照组平稳(P<0.05),苏醒时间短于对照组(P<0.05),不良反应发生也低于对照组(P<0.05)。结论丙泊酚复合芬太尼用于小儿腹股沟区手术麻醉疗效确切,苏醒快,术后并发症少,安全可靠。
Objective To investigate the effectiveness and safety of propofol combined with fentanyl for pediatric anesthesia. Methods Sixty-eight children undergoing operation in the groin area were randomly divided into observation group (34 cases) and control group (34 cases), propofol combined with fentanyl assisted caudal anesthesia in the observation group, and ketamine anesthesia in the control group , Skin incision, 10 minutes after surgery, and HR, respiratory rate (RR), pulse oxygen saturation (SpO2), postoperative recovery time and complications were recorded. Results In the observation group, the intraoperative circulation and respiratory function were stable (P <0.05), the recovery time was shorter than that of the control group (P <0.05), and the incidence of adverse reactions was also lower than that of the control group (P <0.05). Conclusion Propofol combined with fentanyl for pediatric inguinal surgery anesthesia is effective, rapid recovery, less postoperative complications, safe and reliable.