氯胺酮联合骶管阻滞麻醉在小儿疝气手术中的应用效果研究

Application effect of ketamine combined with sacral canal blocking anesthesia in pediatric hernia surgery

目的研究氯胺酮联合骶管阻滞麻醉在小儿疝气手术中的应用效果。方法选取中国人民解放军第91中心医院麻醉科2014年9月—2015年11月收治的实施疝气手术患儿58例,按照麻醉方式的不同分为研究组和对照组,各29例。研究组采用氯胺酮联合骶管阻滞麻醉,对照组采用氯胺酮实施麻醉,对比两组患儿的麻醉效果。结果麻醉后5、10、15min,研究组收缩压和舒张压均高于对照组,心率低于对照组,差异有统计学意义(P<0.05);研究组氯胺酮用量少于对照组,差异有统计学意义(P<0.05);研究组麻醉优良率为96.6%(28/29),对照组为75.9%(22/29),差异有统计学意义(P<0.05);研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论氯胺酮联合骶管阻滞麻醉在小儿疝气手术中的应用效果良好,对患儿影响较小,且安全性较高。

Objective To study the application effect of ketamine combined with sacral canal blocking anesthesia in pediatric hernia surgery. Methods A total of 58 children undergoing pediatric hernia surgery were selected from September2014 to November 2015 in the 91 th Chinese People’s Liberation Army Central Hospital,which were divided into the study group and the control group according to different anesthesia ways,29 cases in each group. The study group was given ketamine combined with sacral canal blocking anesthesia,the control group was given ketamine anesthesia,the anesthesia effect of two groups were compared. Results After 5,10,15 minutes of anesthesia,systolic blood pressure and diastolic blood pressure of study group were higher than control group,the heart rate was lower than the control group( P < 0. 05); ketamine using degree of study group was less than the control group( P < 0. 05); the narcotic excellent rate of study group was 96. 6%( 28 /29),the control group was 75. 9%( 22 /29),the difference was statistically significant( P < 0. 05); the adverse reaction rate of study group was 10. 3%( 3 /29),which was lower than that of the control group 〔37. 9%( 11 /29) 〕,the difference was statistically significant( P < 0. 05). Conclusion Ketamine combined with sacral canal blocking anesthesia has a significant effect in pediatric hernia surgery,has less impact and high safety,is worthy of promotion.