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目的 探究异丙酚联合氯胺酮用于小儿腹腔镜疝的效果.方法 选取笔者医院2015年10月～ 2016年10月收治的需要进行腹腔镜疝治疗的患儿68例,根据数字表法随机分为研究组和对照组各34例,对照组采用复合全身麻醉,研究组采用异丙酚联合氯胺酮.观察并比较两组患儿的临床效果.结果 研究组插入喉罩时间、恢复呼吸时间、拔除喉罩时间和苏醒时间均短于对照组,差异均有统计学意义(P＜0.05).研究组发生苏醒延迟、躁动、呼吸抑制和分泌物过多的比例均少于对照组,差异均有统计学意义(P＜0.05).两组气腹5min、10min和术后放气后10min时SpO2、MAP和HR差异均无统计学意义(P＞0.05).结论 在小儿腹腔镜疝中应用异丙酮联合氯胺酮,麻醉效果较高,缩短患儿恢复呼吸时间和苏醒时间,降低并发症风险,值得推广.“,”Objective To analyze and study the application of propofol combined with ketamine in pediatric laparoscopic hernia.Methods Totally 68 cases of children with laparoscopic hernia treatment treated in our hospital from Oct.2015 to Oct.2016 were selected.They were divided into control group and study group,34 cases in each group,which were treated with reference to general anesthesia.The study group was treated with propofol combined with ketamine,and the clinical effect of the two groups of children was observed.Results The time of laryngeal mask insertion,the recovery time,the time of laryngeal mask extraction and the time of recovery in study group was shorter than that in control group(P ＜ 0.05).The proportions of delayed onset,restlessness,respiratory depression and excessive secretion in study group were lower than those in control group(P ＜0.05).There were no significant differences in SpO2,MAP and HR between two groups in pneumoperitoneum 5min,10min and postoperative deflation 10min(P ＞ 0.05).Conclusion the application of ketamine combined with ketamine in pediatric laparoscopic hernia has a higher anesthetic effect.