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目的观察神经阻滞麻醉辅助氯胺酮在小儿脐以下手术中的临床应用效果。方法选择脐以下手术的小儿,按数字随机法分为A和B组,2组均108例。A组采用神经阻滞麻醉辅助氯胺酮,B组为静脉全身麻醉。观察2组麻醉效果及术后苏醒时间。结果 A组术后苏醒时间快,<5 min 51例,B组0例;5 min0.05)。结论神经阻滞麻醉能满足手术要求,它可提供足够的麻醉平面,减少麻醉并发症,提高小儿麻醉安全性。
Objective To observe the clinical effect of anesthesia with nerve block and ketamine in children under umbilical operation. Methods Children under umbilical operation were selected and divided into A and B groups according to the number randomization method. There were 108 cases in both groups. Group A was anesthetized with blockade of ketamine, Group B was intravenous general anesthesia. The anesthesia effects and postoperative recovery time were observed in two groups. Results The recovery time was faster in group A than in group B (n = 51 in 5 min and in group B in 0). In group A, 57 patients in 5 min and less than 10 min in group A and 0 in group B, respectively. The difference between the two groups was statistically significant. There was no significant difference in anesthesia between the two groups (P> 0.05). Conclusion Nerve block anesthesia can meet the surgical requirements, it can provide adequate anesthesia plane, reduce the complications of anesthesia and improve the safety of pediatric anesthesia.