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目的观察七氟醚复合丙泊酚/氯胺酮用于小儿气管异物取出术的临床效果。方法 40例患儿随机分为七氟醚+氯胺酮组(SK组)和七氟醚+丙泊酚组(SP组),每组20例;记录脱氧和清醒时间、入室、麻醉后、放镜后、术毕、脱氧和清醒时点RR、HR、SpO2及并发症。结果 SP组脱氧和苏醒时间短、并发症发生率低(P<0.05);麻醉和放镜后时点SK组HR变化小(P<0.05)。结论七氟醚复合丙泊酚用于小儿气管异物取出术是一种安全有效的方法。
Objective To observe the clinical effect of sevoflurane combined with propofol / ketamine on removal of pediatric tracheal foreign bodies. Methods 40 children were randomly divided into sevoflurane + ketamine group (SK group) and sevoflurane + propofol group (SP group), with 20 cases in each group. The deoxygenation and awake time were recorded, After surgery, surgery, deoxygenation and awake RR, HR, SpO2 and complications. Results The deoxygenation and wakefulness of SP group were shorter and the complication rate was lower (P <0.05). The changes of HR in SK group were less (P <0.05) after anesthesia and lens placement. Conclusions Sevoflurane combined with propofol is a safe and effective method for the removal of pediatric tracheal foreign bodies.