骶管阻滞复合吸入低浓度异氟醚用于小儿先天性巨结肠手术的临床观察

Clinical Observation of Caudal Block Combined with Low Concentration Isoflurane Used for Congenital Megacolon Children Operation

目的：评价骶管阻滞复合吸入低浓度异氟醚用于小儿先天性巨结肠手术的麻醉效果。 方法：行先天性巨结肠手术的患儿40例，随机分为A、B两组A组为骶管复合异氟醚组．B组为单纯气管内全麻组，观察并记录两组不同的麻醉方法下患儿术中血流动力学变化、麻醉效果、术后意识恢复时间及麻醉药总量麻醉恢复期不良反应，对所得数据进行统计学分析。 结果：两组患儿术中镇痛均较满意A组血流动力学平稳麻醉恢复期不良反应少苏醒快且全麻药用量明显减少。 结论：骶管阻滞复合吸入低浓度异氟醚有利于呼吸、循环的管理及术后苏醒是小儿先天性巨结肠手术较为理想的麻醉方法。

Objective： To evaluate anesthetic effects of caudal block combined with low concentration isoflurane in congenital megacolon children operation. Methods： Forty congenital megacolon children were randomized into two groups： A （candal block combined with isoflurance） and B（intratracheal anesthesia only）. It was recorded that the changes of hemadynamics, the anesthetic effects, the time of consciousness recovery after operation, the total dose of anesthetic and the adverse effects during decubation. Results ： Analgesia during the operation were satisfying in Both group A and B, but group A was better than B in the changes of hemadynamics, the anesthetic effects, the time of conscionsness recovery after operation, the total dose of anesthetic and the adverse effects during decubation. Conclusion： The caudal block combined with low concentration Isoflurane is a ideal anesthesia for the congenital megacolon children operation.