摘要
目的 探讨阴茎背神经阻滞应用在小儿包皮环切手术麻醉中的应用效果.方法 将130例行小儿包皮环切手术患儿采用随机数字表法分为观察组和对照组,每组65例.对照组采取吸入七氟烷复合静注氯胺酮进行手术,观察组采用七氟烷复合静注氯胺酮基础上进行罗哌卡因阴茎背神经阻滞麻醉.记录两组麻醉效果.结果 观察组手术开始后10 min心律为（98.47±10.88）次/min,中心动脉压为（65.13±7.78）mmHg,对照组手术开始后10 min心律为（121.78±15.23）次/min,中心动脉压为（85.27±12.31）mmHg,两组差异均有统计学意义（t=10.040、11.150,均P＜0.05）.观察组应用氯胺酮总量为（41.38±11.28）mg,苏醒时间为（5.54±1.03）min,患儿疼痛评分为（2.11±1.13）分,疼痛烦躁发生率7.69％,对照组应用氯胺酮总量为（71.47±16.82）mg,苏醒时间为（13.67±2.57）min,患儿疼痛评分为（3.89±1.79）分,疼痛烦躁发生率26.15％,两组差异均有统计学意义（t=11.978、23.673、6.779、χ2=7.878,均P＜0.05）.结论 采用七氟烷联合静注氯胺酮结合罗哌卡因阴茎背神经阻滞麻醉应用在小儿包皮环切手术中麻醉效果稳定,安全可靠,值得在临床上推广应用.
Objective To explore the effect of lidocaine combined with ropivacaine in penile dorsal nerve block for pediatric circumcision.Methods 130 children with pediatric circumcision surgery were divided into observation group and control group by the digital meter method,65 cases in each group.The control group was taken inhaled sevoflurane composite static note ketamine surgery,the observation group was given ropivacaine combined with intravenous infusion of ketamine for penile dorsal nerve block anesthesia.The anesthesia effects of the two groups were recorded.Results In the observation group,10 min after surgery,the rhythm of the heart was （98.47±10.88）times/min,central arterial pressure was （65.13±7.78）mmHg.In the control group,10min after surgery,the rhythm of the heart was （121.78±15.23）times/min,central arterial pressure was （85.27±12.31）mmHg,the differences between the two groups were statistically significant（t=10.040,11.150,all P〈0.05）.In the observation group,the used ketamine,waking up time,pain score,incidence rate of pain and irritability were （41.38±11.28）mg,（5.54 ±1.03）min,（2.11±1.13）points,7.69%,respectively,which in the control group were （71.47±16.82）mg,（13.67±2.57）min,（3.89±1.79）points,26.15%,respectively,the differences between the two groups were statistically significant（t=11.978,23.673,6.779,χ2=7.878,all P〈0.05）.Conclusion The anesthesia effect of lidocaine combined with ropivacaine in penile dorsal nerve block for pediatric circumcision is stable,safe and reliable,it is worthy of popularization and application in clinic.
出处
《中国基层医药》
CAS
2017年第17期2591-2594,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省温州市公益性科技计划项目（Y20160385）
