小儿上肢手术中全麻加腋路臂丛神经阻滞的效果

Applications of axillary brachial plexus block in upper extremity surgery of child

目的评价腋路臂丛神经麻醉在小儿上肢手术中的应用效果。方法选择60例择期上肢手术患儿,ASA分级均为Ⅰ级,随机分为两组,每组各30例。一组为单纯全麻组穴组Ⅰ雪,另一组为全麻加臂丛神经麻醉组穴组Ⅱ雪。术中持续监测心电图、血压、心律、呼吸、血氧饱和度以及观察术中出现的不良反应情况,全麻药的总量。结果组Ⅰ全麻药量明显多于组Ⅱ,患儿出现的不良反应比组Ⅱ也明显增多。结论臂丛神经阻滞用于小儿上肢手术比单纯全麻安全。

Objective To investigate the effects of axillary brachial plexus block on upper extremity surgery of child. Methods Sixty ASAⅠgrade patients undergoing surgery of upper extremity were randomly divided into two groups:GroupⅠ i.e general anesthesia, Group Ⅱ received general anesthesia combined with axillary brachial plexus block.ECG,BP, HR, RR and SPO2 were monitored during operation.Adverse reactions and drug consumption of two anesthesia methods were also recorded.Results The Ketmine consumption in the GroupⅠ was significantly more than in Group Ⅱ,Adverse reactions of children in GroupⅠ were also significantly more than in Group Ⅱ.Conclusions Compared with simple general anesthesia,it is more safe that axillary brachial plexus block is applied in children's upper extremity surgery.