静吸复合麻醉联合骶管阻滞用于新生儿腹腔镜手术的效果观察

Effect of Combined intravenous-inhaled anesthesia and caudal block in laparoscopy for neonates

目的 观察静吸复合麻醉联合骶管阻滞用于新生儿腹腔镜手术的效果及安全性. 方法 40例普外科择期手术患儿按入院单双号随机分成两组（观察组和对照组各20例）,观察组给予静吸复合麻醉联合骶管阻滞,对照组单纯给予静吸复合麻醉,观察两组生命体征、气道压、血气分析及并发症发生情况. 结果 观察组T2和T3时点的收缩压、舒张压和心率较对照组均明显降低（均P＜0.05）,对照组T2和T3时点各项观察指标较T1升高（均P＜0.05）;观察组T2和T3时点的气道压、PaCO2较对照组明显降低（均P＜0.05）;对照组T2和T3时点的气道压、PaCO2较T1时点明显升高（均P＜0.05）. 结论 静吸复合麻醉联合骶管阻滞用于新生儿腹腔镜手术安全、有效.

Objective To evaluate the effect and safety of combined intravenous-inhaled anesthesia and caudal block in laparoscopy for neonates. Methods Forty patients aged 5 ～ 28 days（ASA Ⅰ～Ⅱ）were randomly assigned to two groups with 20 cases in each.Patients in the treatment group received intravenous-inhaled anesthesia combined with caudal block（0.8% lidocaine 8 mg/kg）,the control group received intravenous-inhaled anesthesia.Vital sign profiles,airway pressure,blood gas analysis and adverse effects were recorded. Results The changes of SBP,DBP and HR in treatment group were lower than those of control group at T2 and T3.All markers at T2,T3 were higher than those of T1 in control group.Airway pressure and PaCO2 were lower than those of control group at T2 and T3.However,airway pressure and PaCO2 at T2,T3 were higher than those of T1 in control group. Conclusion Combined intravenous-inhaled anesthesia and caudal block was effective in laparoscopy for neonates.