摘要
目的:探讨骶管阻滞复合基础麻醉在小儿腹腔镜疝气手术中的可行性、安全性。方法:选择1～5岁在腹腔镜下行疝囊高位结扎手术ASAⅠ～Ⅱ级患儿40例,随机分为两组。A组20例,基础麻醉后行骶管阻滞麻醉,术中持续低流量鼻导管吸氧;B组20例,常规全麻诱导气管插管后静吸复合麻醉;术中持续监测HR、MAP、SpO2、PETCO2、术毕苏醒时间、术中术后不良反应。结果:两组患儿气腹后HR、MAP、SpO2、PETCO2均高于气腹前(P<0.05),组间比较差异无统计学意义(P>0.05);A组苏醒时间明显优于B组,组间比较差异有统计学意义(P<0.05);术中术后不良反应发生率A组稍高于B组,但比较差异无统计学意义(P>0.05)。结论:骶管阻滞复合基础麻醉用于小儿腹腔镜疝气手术效果确切,可以满足手术的需要。
Objective:To evaluate the feasibility and safety of caudal block combined with basic anesthesia in pediatric laparoscopic hernia surgery.Methods:40 children(1~5 years old,ASA Ⅰ~Ⅱ)undergoing high ligation of hernia sac by laparoscopy,were randomized into two groups:Group A(n=20) and Group B(n=20).Patients in Group A underwent caudal block after basal anesthesia with persistent oxygen uptake.Patients in Group B took general endotracheal intubation combined with intravenous inhalational anesthesia.HR,MAP,SpO2,PETCO2,recovery time of consciousness and adverse effects were monitored during and after operation.Results:The HR,MAP,SpO2 and PETCO2 of both groups were increased after aeroperitoneum(P<0.05).There was no significant differences between the two groups(P>0.05).Recovery time of consciousness in Group A was obviously superior to Group B(P<0.05).The incidence rate of adverse reaction in Group A was a little higher than that in Group B,while no differences were found(P>0.05).Conclusion:The application of caudal block combined with basic anesthesia has firmly effects on pediatric laparoscopic hernia surgery and meets the operations needs.
出处
《中国医学创新》
CAS
2012年第16期43-44,共2页
Medical Innovation of China
关键词
骶管阻滞
麻醉
小儿
腹腔镜
疝气
Caudal block
Anesthesia
Pediatric
Laparoscopy
Hernia
