摘要
目的观察异丙酚作为小儿单次骶管麻醉辅助用药的临床效果。方法选择60例择期手术的小儿均采用骶管阻滞麻醉,能合作的小儿在局麻下行单次骶管穿刺成功后注入局麻药,不能合作的小儿则开放静脉后,以5%葡萄糖与异丙酚按4∶1比例混合液静脉滴注,待患儿入睡后,放慢滴数,然后局麻下行单次骶管穿刺成功后,停静脉滴注异丙酚混合液,所有患儿均接北京产SLGO思路高TCI-IV型注射泵,以2～4mg/(kg.h)速度持续静脉输注异丙酚直至术毕。结果术中患儿全部呈睡眠状态,术中血压,心率平稳,术毕停药后10min左右,全组小儿均全部清醒,术后循环稳定,无恶心、呕吐。结论异丙酚用于小儿单次骶管阻滞麻醉辅助用药效果确切,不良反应小,可控性好,便于麻醉管理,是目前较理想的单次骶管阻滞麻醉辅助用药。
Objective To investigate the clinical effect of propofol as an adjunct to single sacral block anesthesia in pediatric patients.Methods Sixty patient scheduled for elective procedures under sacral block anesthesia were enrolled children who were cooperative would be given sacral block anesthesia under local anesthesia.While others would be given 0.2mg/ml propofol to make them sleep before performing sacral block anesthesia.Propofol was continuously infused 2～4mg/（kg·h）during operation.Results All the children＇s BP HR ECG,were normal.They all keeped sleeping or calm during operation and weeked up 10mins postoperation.All the childrdn had no nausea or vomit after operation.Conclusion Propofol as an ajunct to single sacral block anesthesia is more controllable,efficiency,and easy to manage.It is a perfect adjunct to single sacral block anesthesia at present.
出处
《实用心脑肺血管病杂志》
2010年第6期716-717,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
