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目的:探讨七氟烷复合氯胺酮在小儿短小手术麻醉中的临床实用性与安全性。方法:23例进行短小手术的患儿,ASAⅠ～Ⅱ级,随机分为3组,七氟烷复合氯胺酮组8例,单纯氯胺酮组8例,单纯七氟烷组7例。记录麻醉处理后患者睁眼或体动时间、完全清醒时间及麻醉后并发症发生情况,并相互比较分析。结果:七氟烷复合氯胺酮组苏醒时间明显比氯胺酮组缩短(P<0.05),不良反应等比单纯治疗的两组少(P<0.05)。结论:七氟烷复合氯胺酮是一种比较安全可行的麻醉方法,适用于小儿短小手术的麻醉,值得在临床上推广。
Objective: To investigate the clinical utility and safety of sevoflurane combined ketamine in short-term pediatric anesthesia. Methods: Twenty-three children with ASA Ⅰ ~ Ⅱ were randomly divided into three groups: sevoflurane combined with ketamine group (n = 8), simple ketamine group (n = 8) and simple sevoflurane group (n = 7). Record anesthesia in patients with open eyes or body movement time, complete awake time and complications after anesthesia, and compared with each other. Results: The recovery time of sevoflurane combined with ketamine group was significantly shorter than that of ketamine group (P <0.05). Adverse reactions were less than those of pure ketamine group (P <0.05). Conclusion: Sevoflurane combined with ketamine is a safe and feasible method of anesthesia. It is suitable for anesthesia in short pediatric surgery and is worth popularizing in clinic.