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目的：观察非气管插管复合麻醉联合眶下神经阻滞在婴儿唇裂修复术中的应用。方法57例患者采用8%七氟醚吸入麻醉诱导，术中采用微量泵输注丙泊酚0.5~1mg/kg·h，0.5%~1%利多卡因加1/25万的肾上腺素行双侧眶下神经阻滞，术中根据患儿情况，及时追加氯胺酮0.5mg/kg。观察术前、术中、术毕患儿RR、HR、SpO2,并观察术中有无躯体活动、呼吸抑制、分泌物增加及术后恶心呕吐、苏醒期躁动情况。结果术前、术中、术毕RR、HR、SpO2无统计学意义，无呼吸抑制、呼吸道分泌物增加及术后恶心呕吐、苏醒期躁动现象发生。结论采用七氟醚吸入诱导复合咪达安定、丙泊酚静脉维持的非气管插管麻醉联合眶下神经用于唇裂修复术，避免了全麻气管插管的不良反应，结果表明方法可行，术中麻醉平稳，出血小，安全性高，为一种较好的方法。“,”Objective To observe the clinical effect of non tracheal intubation anesthesia combined with infraorbital nerve block in the repair of cleft lip baby. Methods 57 cases of patients with 8% sevoflurane inhalation anesthesia, intraoperative use of micro pump infusion of propofol in 0.5 ~1mg/kg.h,0.5%to 1%lidocaine and 1/25 10, epinephrine, bilateral orbital nerve block, intraoperative according to the children, the timely addition of ketamine 0.5mg/kg. SpO2, HR and RR were observed before operation, and the respiratory depression and secretion were increased and the nausea and vomiting and the restlessness of the recovery were observed.. Results There was no significant in SpO2, HR and RR before operation, and there was no respiratory depression, respiratory secretion and nausea and vomiting, and restlessness occurred during the operation. Conclusion Sevoflurane inhalation induction compound midazolam stability, propofol maintained without tracheal intubation anesthesia combined with infraorbital nerve for the repair of cleft lip and avoid the adverse reaction of general anesthesia by tracheal intubation. The results show that method is feasible, intraoperative anesthesia was stable and the bleeding, high safety, is a kind of better method.