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目的观察小剂量氯胺酮复合骶管阻滞在婴幼儿肛周脓肿术中的临床效果。方法选择3个月～3岁的婴幼儿40例,随机分为两组:Ⅰ组(对照组)常规氯胺酮组,Ⅱ组(实验组)氯胺酮+骶管阻滞组。结果Ⅱ组患儿的HR、呼吸较Ⅰ组的平稳,麻醉效果优于Ⅰ组,苏醒时间比Ⅰ组短,苏醒期不良反应少。结论小剂量氯胺酮复合骶管阻滞用于婴幼儿肛周脓肿术,麻醉效果确切、可靠,对婴幼儿生理干扰小,安全性高。
Objective To observe the clinical effect of low dose ketamine compound caudal block in infantile perianal abscess. Methods Forty infants aged 3 months to 3 years old were randomly divided into two groups: group Ⅰ (control group), conventional ketamine group, group Ⅱ (experimental group), ketamine + caudal block group. Results The HR and respiration of group Ⅱ were more stable than those of group Ⅰ, and the anesthetic effect was better than group Ⅰ. The recovery time was shorter in group Ⅱ than in group Ⅰ, and there was less adverse reaction in recovery phase. Conclusions The low dose ketamine compound caudal block is used in the treatment of perianal abscess in infants and young children. The anesthetic effect is exact and reliable. It has low physiological disturbance to infants and young children and high safety.