目的 探討丙泊酚、氯胺酮、瑞芬太尼靜脈復(fù)合麻醉對(duì)于小兒隱睪固定術(shù)的麻醉效果。方法 選取80例需行小兒隱睪固定術(shù)的患兒，隨機(jī)分為兩組，對(duì)照組（39例）給予丙泊酚、氯胺酮靜脈注射麻醉，觀察組（41例）給予丙泊酚、氯胺酮、瑞芬太尼靜脈麻醉。觀察并記錄兩組心率（HR）、平均動(dòng)脈壓（MAP）、血氧飽和度（SpO₂）、蘇醒時(shí)間、丙泊酚和氯胺酮給藥劑量及術(shù)后不良反應(yīng)事件，評(píng)價(jià)丙泊酚靜脈復(fù)合麻醉對(duì)于小兒隱睪固定術(shù)的麻醉效果。結(jié)果 注藥前、注藥5 min、切皮時(shí)兩組MAP、HR、SpO₂相比，差異無統(tǒng)計(jì)學(xué)意義。牽引睪丸時(shí)，觀察組MAP、HR明顯低于對(duì)照組（P<0.05）；兩組SpO₂相比，差異無統(tǒng)計(jì)學(xué)意義；與對(duì)照組相比，觀察組患兒蘇醒時(shí)間較短（P<0.05），且丙泊酚及氯胺酮用量均明顯少于對(duì)照組（P<0.05）；術(shù)后不良反應(yīng)情況相比，差異無統(tǒng)計(jì)學(xué)意義。結(jié)論 丙泊酚、氯胺酮、瑞芬太尼靜脈復(fù)合麻醉對(duì)小兒隱睪固定術(shù)具有較好的麻醉效果，麻醉過程平穩(wěn)，對(duì)患兒生命體征影響較小，術(shù)后蘇醒較快且不增加不良反應(yīng)，值得臨床推廣使用。

Objective To discuss the anesthetic effect of iv injection with propofol for pediatric orchiopexy. Methods Totally 80 children who needed orchiopexy were selected, and were divided into two groups randomly. The control group (39 cases) were iv given propofol and ketamine for anesthesia. The observation group (41 cases) were iv given propofol, ketamine, and remifentanil. The anesthetic effect of propofol for pediatric orchiopexy was evaluated by HR, MAP, SpO₂, recovery time, dosage of propofol and ketamine, and postoperative adverse reaction. Results Before the injection and injection for 5 min, there was no statistical significance on MAP, HR, and SpO₂ between two groups. Pulling the testicles, the MAP and HR in observation group were lower than those in control group (P<0.05). There was no statistical significance on SpO₂. The recovery time of observation group was shorter than that of control group (P<0.05). And the dosages of propofol and ketamine in observation group were also less than those in control group (P<0.05). There was no statistical significance on postoperative adverse reaction between two groups. Conclusion The iv anesthesia with propofol has a good anesthetic effect on the pediatric orchiopexy. The anesthesia is stable and has little effect on vital signs, rapid postoperative recovery without increasing adverse reaction, which is worthy of clinical use.