摘要
目的:探讨婴儿胆道闭锁的麻醉方法。方法:将23例胆道闭锁患儿随机分成两组:A组(n=12)单纯全麻组,B组(n=11)全麻复合硬膜外组,记录术前(T1)、手术切皮(T2)、胆道探查(T3)、拔除气管导管(T4)时病人的MAP和HR的变化,记录各组芬太尼、阿曲库铵、异氟烷的用量和停异氟烷吸入后病人呼吸恢复的时间、拔管时间。结果:两组MAP和HR在术前无显著差别(P>0.05),在T2、T3及T4时A组高于B组(P<0.05);呼吸恢复的时间、拔管时间A组高于B组(P<0.05);全麻药的用量A组高于B组(P<0.05)。结论:两种方法均可用于婴儿胆道闭锁手术,但B组更优于A组。
Objective：To explore the anesthesia for infants with congenital biliary atresia. Methods：A total of 23 infants suffering from congenital biliary atresia were randomly divided into two groups, group A （pure general anesthesia） and groupB（general anesthesia combined with epidural block）.The variation of MAP and HR were recorded at different time points such as before operation （T1）, cutting skin （T2）, exploring biliary tract （T3） and pulling out endotracheal catheter （T4）.Meanwhile, the doses of fentanyl,aracurium and isoflurane were recorded, and the time periods of breath recovery and pulling out endotracheal catheter after stopping inhalation of isoflurane were recorded.Results：Before operation （T1）MAP and HR in both groups changed unsignificantly（P〉0.05）.For the time points of cutting skin（T2）,exploring biliary tract（T3） and pulling out endotracheal catheter （T4）,MAP and HR in group A were higher than those in group B （P〈0.05）;the time periods of breath recovery and pulling out endotracheal catheter in group A were longer than those in group B （P〈0.05）,The dosages of narcotic in group B were less than those of group A.Conclusion：Both two anesthetic methods could be used in the operation of congenital biliary atresia on infants but the method of group B was better than that of group A.
出处
《重庆医科大学学报》
CAS
CSCD
2007年第2期189-191,共3页
Journal of Chongqing Medical University
关键词
婴儿
胆道闭锁
麻醉
Infant
Biliary atresia
Anesthesia
