摘要
目的:分析插管全身麻醉辅助臂丛神经阻滞在小儿上肢手术中的应用效果。方法:从2018年1月至2019年12月期间东莞市中医院进行上肢手术治疗患儿中选取80例,应用信封法分为对照组与观察组,各40例。给予对照组患儿插管全身麻醉,给予观察组患儿插管全身麻醉辅助臂丛神经阻滞。比较两组患儿不同时刻平均动脉压(MAP)与心率(HR)水平、苏醒时间、术后疼痛程度及不良反应状况。结果:T0时刻(实施麻醉前)两组患儿MAP、HR水平比较,差异无统计学差异(P>0.05);T1、T2时刻(气管导管插管时、气管导管拔管时)两组患儿MAP、HR水平均升高,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组患儿苏醒时间比对照组短,术后疼痛程度评分比对照组低,差异具有统计学意义(P<0.05)。观察组患儿嗜睡、拔管时候躁动不良反应的发生率均低于对照组,差异具有统计学意义(P<0.05)。结论:在对小儿实施上肢手术中实施插管全身麻醉辅助臂丛神经阻滞,应用效果理想,可有效维持患儿循环系统的稳定性,术后疼痛程度低,苏醒质量好,不良反应发生率低。
Objective To investigate and analyze the effect of brachial plexus block assisted by intubation general anesthesia in pediatric upper limb surgery.Methods A total of 80 children admitted to Dongguan Hospital of Traditional Chinese Medicine for upper limb surgery from January 2018 to December 2019 were included in this study and divided into control group and study group by envelope method,with 40 cases in each group.The control group was given intubation general anesthesia,and the study group was given intubation general anesthesia assisted brachial plexus block.The mean arterial pressure(MAP)and heart rate(HR)levels,recovery time,postoperative pain and adverse reactions were compared between the two groups.Results There were no significant differences in MAP and HR levels between the two groups at T0(P>0.05).MAP and HR levels were increased in both groups at T1 and T2,and the levels of these indicators in the study group were lower than those in the control group,with statistical significance(P<0.05).The awakening time of the children in the study group was shorter than that in the control group,and the postoperative pain score was lower than that in the control group,with statistically significant differences(P<0.05).The incidence of drowsiness and agitation during extubation in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Brachial plexus block assisted by intubation general anesthesia in children's upper limb surgery has ideal application effect,which can effectively maintain the stability of children's circulatory system,with low postoperative pain,good recovery quality and low incidence of adverse reactions.
作者
冯淑燕
陈杰
FENG Shu-yan;CHEN Jie(Dongguan Hospital of Traditional Chinese Medicine,Guangdong Dongguan 523000)
出处
《深圳中西医结合杂志》
2021年第18期137-140,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
臂丛神经阻滞
插管全身麻醉
上肢手术
儿童
Brachial plexus block
Intubation general anesthesia
Pediatric upper limb surgery
Children
