CAJ | 학술논문

目的观察骶管阻滞麻醉与喉罩-七氟醚麻醉在小儿短小手术中应用的优缺点.方法 2～5岁择期行斜疝或隐睾手术的患儿60例,随机分为静脉复合骶管麻醉组(S),喉罩-静吸麻醉组(L),每组30例.观察患儿术中生命体征、苏醒时间、PACU停留时间、氯胺酮用量、围术期并发症.结果 BP、HR和SpO2在两组间比较差异无统计学意义.S组麻醉苏醒时间、PACU停留时间明显长于L组(P<0.01),S组氯胺酮用量明显多于L组(P<0.01).S组术后躁动发生率明显低于L组(P<0.05).结论两种方法都可以安全、有效地用于小儿短小手术麻醉,静脉复合骶管阻滞麻醉苏醒时间明较长,但是可以明显降低术后躁动发生丰.
목적 관찰저관조체마취여후조-칠불미마취재소인단소수술중응용적우결점.방법 2～5세택기행사산혹은고수술적환인60례,수궤분위정맥복합저관마취조(S),후조-정흡마취조(L),매조30례.관찰환인술중생명체정、소성시간、PACU정류시간、록알동용량、위술기병발증.결과 BP、HR화SpO2재량조간비교차이무통계학의의.S조마취소성시간、PACU정류시간명현장우L조(P<0.01),S조록알동용량명현다우L조(P<0.01).S조술후조동발생솔명현저우L조(P<0.05).결론 량충방법도가이안전、유효지용우소인단소수술마취,정맥복합저관조체마취소성시간명교장,단시가이명현강저술후조동발생봉.
Objective To compare the advantages and disadvantages of sacral canal block and sevoflurane anaesthesia with LMA in children undergoing minor surgery. Methods Sixty children aged 2～5 years,schedule to undergo minor surgical procedures, were divided into sacral canal block (group S) and sevoflurane anaesthesia with LMA (group L). Demographic data, heart rate, non-invasive blood pressure, pulse oximeter oxygen satutraion were recorded for each child. In addition, time from termination of surgery to emergence and duration of stay in the PACU, total dose of ketamine, side effects were recorded. Results The two groups were comparable with respect to demographic data, blood pressure and heart rate. The emergence time and du-ration of stay in the PACU of group S were significantly longer than those of group L. There were significantly more dose of ket-amine in the group S. The incidence of emergence agitation in the L group was significantly higher than that in the group S. Con-clusion The balanced anaesthesia of sacral canal block and intravenous anaesthesia, resulted in a lower incidence of emergence agitation, but there were significantly longer emergence time.