中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
1期
32-34
,共3页
麻醉,脊尾%七氟烷%疝,腹股沟
痳醉,脊尾%七氟烷%疝,腹股溝
마취,척미%칠불완%산,복고구
Anesthesia,caudal%Desflurane%Hernia,inguinal
目的 探讨骶管阻滞联合七氟烷麻醉在小儿腹股沟疝手术中的应用效果.方法 选择疝气手术患儿102例,数字表法随机分为三组,A组为骶管阻滞联合七氟烷麻醉(35例),B组为骶管阻滞联合异氟烷麻醉(33例),C组为七氟烷复合氯胺酮麻醉(34例).观察三组患儿的心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO2)及术中麻醉效果、术后苏醒时间、术后不良反应等情况.结果 A组与B组患儿麻醉前与麻醉后HR、MAP、SpO2无明显变化(P＞0.05)；C组患儿麻醉前后HR、MAP、SpO2变化较明显(t=10.121、6.681、4.469,均P＜0.05).C组患儿苏醒与清醒时间较A组和B组患儿明显延长(=8.240,11.693,均P＜0.05)；A组与B组患儿苏醒和清醒时间差异无统计学意义(P＞0.05).A组与C组不良反应差异无统计学意义(P＞0.05)；A组与B组不良反应差异有统计学意义(x2=3.923,P＜0.05).结论 骶管阻滞联合七氟烷麻醉在小儿腹股沟区手术中具有较好的麻醉效果,且安全性较高.
目的 探討骶管阻滯聯閤七氟烷痳醉在小兒腹股溝疝手術中的應用效果.方法 選擇疝氣手術患兒102例,數字錶法隨機分為三組,A組為骶管阻滯聯閤七氟烷痳醉(35例),B組為骶管阻滯聯閤異氟烷痳醉(33例),C組為七氟烷複閤氯胺酮痳醉(34例).觀察三組患兒的心率(HR)、平均動脈壓(MAP)、血氧飽和度(SpO2)及術中痳醉效果、術後囌醒時間、術後不良反應等情況.結果 A組與B組患兒痳醉前與痳醉後HR、MAP、SpO2無明顯變化(P＞0.05)；C組患兒痳醉前後HR、MAP、SpO2變化較明顯(t=10.121、6.681、4.469,均P＜0.05).C組患兒囌醒與清醒時間較A組和B組患兒明顯延長(=8.240,11.693,均P＜0.05)；A組與B組患兒囌醒和清醒時間差異無統計學意義(P＞0.05).A組與C組不良反應差異無統計學意義(P＞0.05)；A組與B組不良反應差異有統計學意義(x2=3.923,P＜0.05).結論 骶管阻滯聯閤七氟烷痳醉在小兒腹股溝區手術中具有較好的痳醉效果,且安全性較高.
목적 탐토저관조체연합칠불완마취재소인복고구산수술중적응용효과.방법 선택산기수술환인102례,수자표법수궤분위삼조,A조위저관조체연합칠불완마취(35례),B조위저관조체연합이불완마취(33례),C조위칠불완복합록알동마취(34례).관찰삼조환인적심솔(HR)、평균동맥압(MAP)、혈양포화도(SpO2)급술중마취효과、술후소성시간、술후불량반응등정황.결과 A조여B조환인마취전여마취후HR、MAP、SpO2무명현변화(P＞0.05)；C조환인마취전후HR、MAP、SpO2변화교명현(t=10.121、6.681、4.469,균P＜0.05).C조환인소성여청성시간교A조화B조환인명현연장(=8.240,11.693,균P＜0.05)；A조여B조환인소성화청성시간차이무통계학의의(P＞0.05).A조여C조불량반응차이무통계학의의(P＞0.05)；A조여B조불량반응차이유통계학의의(x2=3.923,P＜0.05).결론 저관조체연합칠불완마취재소인복고구구수술중구유교호적마취효과,차안전성교고.
Objective To investigate the clinical application of caudal block combined anesthesia with sevoflurane in pediatric hernia.Methods 102 patients were randomly divided into three groups:caudal block combined with sevoflurane (A group),caudal block combined with isoflurane and sevoflurane combined with ketamine.HR,MAP,SpO2,anaesthetic effect,the recovery time,the awake time and the adverse reaction were observed.Results The HR,MAP,SpO2 in A and B group had no significant difference before and after anesthesia (P ＞ 0.05).The HR,MAP,SpO2 in C group had statistically significant difference before and after anesthesia(t =10.121,6.681,4.469,all P ＜ 0.05).Compared with A and B group,the recovery time and the awake time in C group were longer significantly(t =8.240,11.693,all P ＜0.05).Compared with B group,the recovery time and the awake time in A group had no statistically significant difference(P ＞ 0.05).Compared with C group,the adverse reaction in A group had no statistically significant difference (P ＞ 0.05).Compared with B group,the adverse reaction in A group had statistically significant difference (x2 =3.923,P ＜ 0.05).Conclusion The caudal block combined anesthesia with sevoflurane in pediatric hernia has a good effect and security.
