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目的:研究氯胺酮复合瑞芬太尼在小儿手术麻醉中的临床价值。方法:从我院需实施手术治疗的患儿中选取52例进行研究,并按照患者麻醉药剂将其分为治疗组(采用氯胺酮复合瑞芬太尼麻醉)和对照组(采用氯胺酮麻醉),各为26例,对比两组患者氯胺酮用量、苏醒时间及术前术中平均动脉压、脉搏血氧饱和度、心率。结果:对比两组患者术前平均动脉压、脉搏血氧饱和度、心率,P>0.05;术中,两组患者平均动脉压、脉搏血氧饱和度,P>0.05;两组患者心率有明显差异性,P<0.05;治疗组患者氯胺酮用量及苏醒时间较对照组患者的相比,有显著优势,P<0.05。结论:氯胺酮复合瑞芬太尼在小儿手术麻醉中具有良好效果。
Objective: To study the clinical value of ketamine combined remifentanil in pediatric anesthesia. Methods: Fifty-two children were selected from our hospital for surgical treatment and divided into treatment group (using ketamine combined with remifentanil) and control group (with ketamine anesthesia) For 26 cases, comparing ketamine dosage, recovery time and mean arterial pressure, pulse oximetry and heart rate before operation in both groups. Results: The mean arterial pressure, pulse oximetry and heart rate of two groups were compared before and after operation. The average arterial pressure and pulse oximetry of both groups were significantly higher than those before operation P <0.05. The ketamine dosage and recovery time in the treatment group were significantly higher than those in the control group (P <0.05). Conclusion: Ketamine combined with remifentanil has good effect in pediatric anesthesia.