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目的探讨和分析咪唑地西泮联合氯胺酮、丙泊酚用于患儿硬膜外麻醉的临床效果,总结其临床价值。方法回顾性分析2009年1月—2010年1月来我院就诊的临床资料完整的患儿50例,咪唑地西泮联合氯胺酮、丙泊酚用于患儿硬膜外麻醉,观察和记录患儿术前术后的情况以及有无躁动、恶心、呕吐等症状,观察其临床效果。结果咪唑地西泮联合氯胺酮、丙泊酚用于患儿硬膜外麻醉取得了较好的临床效果,术前、术后观察指标相比差异无统计意义(P>0.05)。结论咪唑地西泮联合氯胺酮、丙泊酚用于患儿硬膜外麻醉进行手术,镇静及镇痛的效果比较好,不良反应小,值得临床借鉴和应用。
Objective To investigate and analyze the clinical effects of midazolam combined with ketamine and propofol for epidural anesthesia in children and to summarize its clinical value. Methods A retrospective analysis of 50 patients with complete clinical data from January 2009 to January 2010 in our hospital was conducted. Midazolam combined with ketamine and propofol for epidural anesthesia in children was observed and recorded Preoperative and postoperative conditions and whether the restlessness, nausea, vomiting and other symptoms, observe the clinical effect. Results Imidazidiazepam combined with ketamine and propofol for epidural anesthesia in children has achieved good clinical results. There was no significant difference between the preoperative and postoperative indexes (P> 0.05). Conclusion Imidazidiazepam combined with ketamine and propofol for epidural anesthesia in children for surgery, sedation and analgesic effect is better, less adverse reactions, it is worth learning and application.