中国医药
中國醫藥
중국의약
CHINA MEDICINE
2010年
9期
852-853
,共2页
婴儿%瑞芬太尼%骶管麻醉%丙泊酚%血液动力学过程
嬰兒%瑞芬太尼%骶管痳醉%丙泊酚%血液動力學過程
영인%서분태니%저관마취%병박분%혈액동역학과정
Infant%Remifentanil%Sacral block%Propofol%Hemodynamics
目的 观察婴儿骶管麻醉复合小剂量瑞芬太尼的临床效果.方法 选取美国麻醉学会分级Ⅰ～Ⅱ级腹部手术的婴儿120例,年龄3个月～1岁,完全随机分为骶管麻醉复合小剂量瑞芬太尼加丙泊酚组(A组)及骶管麻醉复合丙泊酚组(B组),每组60例.观察2组麻醉前、麻醉后、切皮时、术中探查、关腹、缝皮时、术毕时的心率、血压、血氧饱和度的变化,记录术毕停药后患儿苏醒时间,并观察术后恶心、呕吐的发生率,比较麻醉效果.结果 A组与B组相比,切皮探查时,A组比B组循环更稳定,苏醒时间[A组(8.7±3.4)h,B组(6.1±2.9)h]和术后恶心、呕吐的发生情况(A组2例,B组3例)差异无统计学意义.麻醉效果:A组优58例,良2例;B组优52例,良7例,差1例.结论 骶管麻醉复合小剂量瑞芬太尼加丙泊酚用于婴儿下腹部及会阴部手术具有镇痛完善,镇静满意,血流动力学更稳定,操作简便有效,术后并发症少的特点,是安全可行的.
目的 觀察嬰兒骶管痳醉複閤小劑量瑞芬太尼的臨床效果.方法 選取美國痳醉學會分級Ⅰ～Ⅱ級腹部手術的嬰兒120例,年齡3箇月～1歲,完全隨機分為骶管痳醉複閤小劑量瑞芬太尼加丙泊酚組(A組)及骶管痳醉複閤丙泊酚組(B組),每組60例.觀察2組痳醉前、痳醉後、切皮時、術中探查、關腹、縫皮時、術畢時的心率、血壓、血氧飽和度的變化,記錄術畢停藥後患兒囌醒時間,併觀察術後噁心、嘔吐的髮生率,比較痳醉效果.結果 A組與B組相比,切皮探查時,A組比B組循環更穩定,囌醒時間[A組(8.7±3.4)h,B組(6.1±2.9)h]和術後噁心、嘔吐的髮生情況(A組2例,B組3例)差異無統計學意義.痳醉效果:A組優58例,良2例;B組優52例,良7例,差1例.結論 骶管痳醉複閤小劑量瑞芬太尼加丙泊酚用于嬰兒下腹部及會陰部手術具有鎮痛完善,鎮靜滿意,血流動力學更穩定,操作簡便有效,術後併髮癥少的特點,是安全可行的.
목적 관찰영인저관마취복합소제량서분태니적림상효과.방법 선취미국마취학회분급Ⅰ～Ⅱ급복부수술적영인120례,년령3개월～1세,완전수궤분위저관마취복합소제량서분태니가병박분조(A조)급저관마취복합병박분조(B조),매조60례.관찰2조마취전、마취후、절피시、술중탐사、관복、봉피시、술필시적심솔、혈압、혈양포화도적변화,기록술필정약후환인소성시간,병관찰술후악심、구토적발생솔,비교마취효과.결과 A조여B조상비,절피탐사시,A조비B조순배경은정,소성시간[A조(8.7±3.4)h,B조(6.1±2.9)h]화술후악심、구토적발생정황(A조2례,B조3례)차이무통계학의의.마취효과:A조우58례,량2례;B조우52례,량7례,차1례.결론 저관마취복합소제량서분태니가병박분용우영인하복부급회음부수술구유진통완선,진정만의,혈류동역학경은정,조작간편유효,술후병발증소적특점,시안전가행적.
Objective To observe the clinical effect of sacral block combined with small doses of remifentanil applied in infant. Methods Totally 120 infant patients with abdominal surgery operative aged 3 months to 1 years old were randomly divided into two groups: groupA had sacral block combined with small doses of remifentanil and propofol; group B had sacral block combined with propofol. Obeservation data included the changes of heart rate and blood pressure and oxygen saturation of blood before and after anesthesia, the beginning of incision of skin, exploration during the operation, suture of skin, at the end of surgery, the time of recovery and the rate of nausea and vomiting. Results Compared with groupB, the circulatory system of Group A was more stable at the beginning of incision of skin and the exploration. There were no significant difference of the time of recovery, the rate of nausea and vomiting. Conclusion Sacral block combined with small doses of remifentanil and propofol applied in infant in lower abdomen and perineal surgery is simple and effective, safe and feasible with less complications.
