小儿腭裂修补术全麻中辅以腭前神经阻滞的临床观察

The Clinical Observation of General Anesthesia Combined with Block Anesthesia of Anterior Palatine Nerve in Children Palatal Cleft Sugery

目的 :观察小儿腭裂修补术全麻中辅以腭前神经阻滞的麻醉效果。方法 :先天性腭裂患儿 10 7例 ,随机分为两组 ,A组在全麻后、手术开始前以 2 %利多卡因 2～ 3ml行双侧腭前神经阻滞 ,再行手术 ;B组在单纯全麻下手术。观察两组静脉麻醉药的用量和全麻苏醒时间以及术后恶心呕吐、疼痛等情况。结果 :A组静脉麻醉药用量明显少于B组 ,苏醒时间短于B组 (P <0 .0 5 ) ,术后恶心呕吐及疼痛轻于B组 (P <0 .0 1)。结论 :小儿腭裂修补术全麻中辅以腭前神经阻滞能减少静脉麻醉药用量 ,缩短麻醉苏醒时间 ,减轻术后并发症 。

Objective: To observe the effect of anesthesia combined with block anesthesia of anterior palatine in children palatal cleft surgeries. Methods: 107 palatal clef children were randomly divided into 2 groups. In group A, after general anesthesia block ansthesia of anterior palatine nerve with 3～5 ml of 2% of lidocaine was conducted before surgery. In group B, only general anesthesia was performed. The differences of the dose of venous aneshesia durgs, the time of recovering,and postoperative pain and vomit in both groups were observed. Results: The dose of venous anetheaia drugs used in group A was less than that in group B( P <0.05).Also in group A,the time of recovering shorter( P <0.05)and postoperative pain and vomit slighter(each P <0.01). Conclusion: In children palatal cleft surgeries, general anesthesia combined with block anesthesia of anterior palatine nerve can reduce the dose of venous anesthesia drugs and the time of recovering. It also can relieve postoperative pain and vomit. It is a safe and useful anesthesia method.