摘要
目的探究与分析骶管麻醉在小儿腹部以下手术中的应用。方法选取我院收治的86例行腹部以下手术患儿,将其随机分为对照组与试验组,各43例。对照组患儿采用氯胺酮复合咪达唑仑麻醉,试验组患儿采用氯胺酮复合咪达唑仑麻醉加骶管麻醉,观察与比较两组患儿经不同麻醉方式处理后的血压、心跳次数、血氧饱和度、呼吸次数、术后清醒时间、术后镇痛作用时间及术中术后不良反应等情况。结果两组患儿平均动脉压、心率、血氧饱和度、呼吸频率差异无统计学意义(P>0.05),但试验组患儿较对照组患儿的术后清醒时间较短,术后镇痛作用时间较长,差异具有统计学意义(P<0.05)。两组经不同麻醉方式处理后出现尿潴留、喉痉挛的患儿差异无统计学意义(P>0.05),但试验组患儿出现术中体动、呕吐及躁动的例数较对照组少,差异具有统计学意义(P<0.05)。结论骶管麻醉的临床效果较氯胺酮复合咪达唑仑麻醉好,患儿呼吸平稳,术后麻醉持续时间短,清醒较快,可广泛用于小儿腹部以下的手术麻醉,值得在临床范围内广泛推广。
【Objective】To discuss and analyze sacral anesthesia＇s application in children abdominal surgery.【Methods】Chose 86 cases of these children patients who have had abdominal surgery at our hospital as clinical study objectives,divided them into control group and experimental group according to random number table,each group has 43 cases,adopted ketamine combined with midazolam to control group＇s patients for anesthesia,while adopted sacral anesthesia to experimental group＇s patients,observed and compared these two groups＇ patients＇ blood pressure, heartbeat,blood oxygen percentage,respiratory frequency,postoperative awake time,postoperative analgesic action time and intraoperative,postoperative happening situations of adverse reactions after they received different anesthesia methods.【Results】There were no obvious differences between these two groups＇ patients＇ mean arterial pressure, and heart rate,blood oxygen saturation and respiratory frequency after they received different anesthesia methods（P〉0.05）,but experimental group＇s children patients＇ postoperative awake time was shorter than control group＇s patients,its postoperative analgesic action time was longer than control group＇s patients（P〈0.05）,it has statistics meaning.With regard to the number of patients who occurred urinary retention, infection, nerve damage, low blood pressure and local anaesthetic toxic reaction,there were no obvious differences between these two groups after the patients received different anesthesia methods（P〉0.05）,while the number of patients who occurred vomit and dysphoria in experimental group were 25.58% and 27.91% fewer than control group＇s respectively（P〈0.05）,it has statistics meaning.【Conclusion】Sacral anesthesia＇s clinical effect is better than ketamine combined with midazolam＇s,children patients breath smoothly,the postoperative duration of anesthesia is short and patients awake faster,sacral anesthesia can be widely used in children abdominal surgery,it is worthy of clinical promotion.
出处
《中国医学工程》
2015年第1期5-6,共2页
China Medical Engineering
关键词
骶管麻醉
氯胺酮复合咪达唑仑麻醉
小儿腹部以下手术
sacral anesthesia
ketamine combined with midazolam anesthesia
children abdominal surgery
