腰硬联合麻醉用于小儿下肢手术的体会

EXPERIENCE OF COMBINED SPINAL AND EPIDURAL ANESTHESIA IN CHILDREN UNDERGOING LOWER LIMB OPERATION

目的探讨腰硬联合麻醉用于小儿下肢手术的可行性。方法80例ASAⅠ～Ⅱ级行下肢手术的患儿,年龄4～11岁,随机均分为腰硬联合麻醉组(CSEA)和硬膜外麻醉组(EA)。观察比较两组术中循环各项指标、麻醉效果、局麻药用量、辅助药物用量及可能的不良反应。结果CSEA组的麻醉效果明显优于EA组,局麻药用量及辅助药物用量方面明显少于EA组;两组均未见明显的不良反应。结论腰硬联合麻醉用是小儿下肢手术较为理想的麻醉方法。

Objective To evaluate the feasibility of combined spinal and epidural anesthesia in children undergoing lower limb operation. Methods 80 children with lower limb operation, aged from 4 to 11, were randomly divided into combined spinal and epidural anesthesia（CSEA） group and epidural anesthesia（EA） group, 40 cases in each group. Circulation index, anesthesia effect, volume of local anesthetic, volume of ancillary drug, and adverse effect were observed in both two groups. Results Anesthesia effect in CSEA group was better than that in EA group, volume of local anesthetic and ancillary drug in CSEA group were not so many as that in EA group. There was no significant adverse effect in both two groups. Conclusion Combined spinal and epidural anesthesia is a ideal way for children with lower limb operation.