全麻联合单次骶管阻滞在小儿下腹部手术中的应用

The Application of General Anesthesia with Single Block Caudal During Lower Abdominal Surgerg in Children

目的:观察全身麻醉联合单次骶管神经阻滞在小儿下腹部手术中的效果。方法:50例4～9岁择期行下腹部手术的患儿,随机分成全麻组和联合组2组。观察2组患者一般生命体征,丙泊酚、雷米芬太尼每小时用量,麻醉效果、并发症及麻醉方式改变等情况。结果:全麻组的平均动脉压(MAQ)和心率(HR)在术中(T1)、停药后5分钟(T2)、苏醒时(T3)均高于联合组(P<0.05),丙泊酚、雷米芬太尼每小时用量联合组明显少于全麻组(P<0.01)。2组患儿在诱导合作、术中体动、苏醒期躁动、苏醒时间、麻醉方式改变等方面有差异但差异无统计学上的意义。结论:全麻联合单次骶管阻滞在小儿下腹部手术中可以提供满意的麻醉效果。

Objective ： To observe the effects and safety of general anesthesia with single block caudal during lower abdominal surgery in children, nethods：ifty children undergoing lower abdominal surgery were divided into general anesthesia group and uniting group. The BP, HR and SpO2 were continually monitored. The every hour usage of propofol and remifentanil , blockade and side effects were recorded. Results：The MAP and HR in general anesthesia group were higher than those in uniting group at during operation（ T1 ）, 5 minutes after stopping propofol （T2）, in waking state （T3）. The every hour usage of propofol and remifentanil were lower in uniting group than that in general anesthesia group. Conclusion ： general anesthesia with single block caudal during lower abdominal surgery in children is effective and safe.