CAJ | 학술논문

目的探讨骶管阻滞复合全麻喉罩通气对小儿血液动力学的影响.方法择期下腹部、会阴部或下肢手术小儿60例,ASA I或II级.随机分为单纯气管插管组(T组),骶管阻滞复合气管插管组(CT组),骶管阻滞复合喉罩通气组(CL组),每组20例.分别于诱导前(T0)、插管即刻(T1)、手术开始(T2)、手术开始后30 min(T3)、手术开始后60 min(T4)监测心率(HR)、血压、脉搏氧饱和度、呼气末CO2分压,记录平均动脉压(MAP),中心静脉压,丙泊酚、瑞芬太尼的用量及术后不良反应的发生情况.结果 T组、CT组在T1时点MAP、HR明显高于CL组(P<0.05);CL组、CT组丙泊酚及瑞芬太尼的用量明显少于T组;CL组术后不良反应最少.结论骶管阻滞复合全麻喉罩通气对小儿的血液动力学影响最小,不良反应少.
목적 탐토저관조체복합전마후조통기대소인혈액동역학적영향.방법 택기하복부、회음부혹하지수술소인60례,ASA I혹II급.수궤분위단순기관삽관조(T조),저관조체복합기관삽관조(CT조),저관조체복합후조통기조(CL조),매조20례.분별우유도전(T0)、삽관즉각(T1)、수술개시(T2)、수술개시후30 min(T3)、수술개시후60 min(T4)감측심솔(HR)、혈압、맥박양포화도、호기말CO2분압,기록평균동맥압(MAP),중심정맥압,병박분、서분태니적용량급술후불량반응적발생정황.결과 T조、CT조재T1시점MAP、HR명현고우CL조(P<0.05);CL조、CT조병박분급서분태니적용량명현소우T조;CL조술후불량반응최소.결론 저관조체복합전마후조통기대소인적혈액동역학영향최소,불량반응소.
Objective To investigate the effects of caudal block with laryngeal mask airway(LMA) ventilation on the hemodynamics of children undergoing elective surgery under general anesthesia. Methods Sixty ASA Ⅰ or Ⅱ children undergoing selective lower abdominal surgery were randomly divided into 3 groups (n=20):Group T:endotracheal intubation. Group CT:caudal block and endotracheal intubatio. Group CL:caudal block and laryngeal mask airway(LMA) ventilation. HR,BP,MAP,CVP,SpO2,PetCO2 were monitored during anesthesia.HR,MAP,CVP were recorded at proinduction (T0),intubation(T1),operation(T2),30 min after operation(T3) and 60 min after operation (T4).Recording the dosage of propofol,remifentanil and adverse reactions of postoperation. Results MAP,HR at T1 were significantly higher in group T and group CT than that in group CL.The dosage of propofol and remifentanil were significantly less in group CT and group CL than that in group T. Conclusions Caudal block with LMA ventilation have little side effects on hemodynamics of the children undergoing slective surgery with general anesthesia.