摘要
目的:探讨全身麻醉复合胸椎旁神经阻滞在婴幼儿胸腔镜手术中的应用.方法:选择广东省妇幼保健院2018年7月至2021年1月收治的因肺囊腺瘤择期行胸腔镜下肺叶切除术的婴幼儿60例,随机分为C组和N组各30例。C组常规行全身麻醉,N组在麻醉诱导后行椎旁神经阻滞分别记录患儿术中舒芬太尼的用量,复苏时间,气管插管后30 min(T1)、60 min(T2)的心率(HR)和平均动脉血压(MAP),拔除气管导管后2 h(T3)和6 h(T4)患儿的HR、MAP、疼痛评分.结果:N组患儿舒芬太尼的用量明显少于C组,复苏时间短于C组,差异具有统计学意义(P<0.05);两组患儿在T1和T2时间点HR和MAP比较无统计学差异(P>0.05);N组患儿T3和T4时间点HR及疼痛评分均明显低于C组,差异具有统计学意义(P<0.05);两组患儿MAP比较差异无统计学意义(P>0.05).结论:全身麻醉复合椎旁神经阻滞能明显减少术中舒芬太尼的用量,促进患儿苏醒,还能降低胸腔镜手术婴幼儿的术后痛.
Objective To explore the application of general anesthesia combined with thoracic paravertebral nerve block in infant thoracoscopic surgery.Methods A total of 60 infants and young children undergoing thoracoscopic lobectomy for pulmonary cystadenoma or isolated lung who were admitted to the Guangdong Provincial Maternity and Child Health Hospital from July 2018 to January 2021 were selected and randomly divided into groups C (n=30) and N Group (n=30).Group C underwent general anesthesia routinely,and group N underwent paravertebral nerve block after induction of anesthesia.The intraoperative sufentanil dosage,resuscitation time,heart rate (HR) and mean blood pressure (MAP) at 30 min (T1) and 60 min (T2) after tracheal intubation were recorded respectively,and 2h after tracheal tube removal (T3) And 6h (T4) children’s HR,MAP,and pain scores.Result The dosage of sufentanil in group N was significantly less than that in group C,and the recovery time was shorter than that in group C.The difference was statistically significant (P < 0.05);there was no statistical comparison of HR and MAP between the two groups at T1 and T2 time points The HR and pain scores of children in group N were significantly lower than those in group C at T3 and T4,the difference was statistically significant (P < 0.05),and the difference in MAP comparison was not statistically significant (P > 0.05).Conclusion General anesthesia combined with paravertebral nerve block can significantly reduce the amount of sufentanil during surgery,promote the recovery of children,and reduce the postoperative pain of infants and young children undergoing thoracoscopic surgery.
作者
彭玲莉
阿丽娜•阿尤甫
黄薇
袁超
苏丽婧
刘晶
PENG Ling-li;Alina·ayoufu;HUANG Wei;YUAN Chao;SU Li-jing;LIU Jing(Guangdong Provincial Maternity and Child Health Hospital,Guangdong Guangzhou 510010)
出处
《深圳中西医结合杂志》
2021年第13期4-6,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
广东省科技计划项目资助课题(2016A020215127)。
关键词
胸椎旁神经阻滞
胸腔镜下肺叶切除术
术后痛
婴幼儿
Thoracic paravertebral nerve block
Thoracoscopic lobectomy
Postoperative pain
Infants
