小儿外科手术中行丙泊酚靶控加单次硬膜的效果探究

Effect exploration of implementation of propofol target control plus one-time dura mater in pediatric surgery

目的探究在小儿外科手术中行丙泊酚靶控加单次硬膜的效果。方法选取2012年9月-2014年1月来本院接受手术治疗的80例患儿作为研究对象，随机等分为研究组和对照组，分别为单次硬膜外加丙泊酚靶控和氯胺酮麻醉，比较不同时间段的两组患者血压、心率及血氧饱和度及肢体乱动、肌松程度等指标。结果对照组开始手术和结束手术时的血压、心率与进手术时前相比均显著升高（P〈0．05），而研究组的血压则无明显变化，但同时刻比较对照组则较低，差异有统计学意义（P〈0．05）；研究组心率在开始手术和结束手术时与进手术时前相比明显降低（P〈0．05），与对照组同时点相比也降低不少（P〈0．05）；研究组肢动较少，苏醒时间缩短，差别有统计学意义（P〈0．05）。结论在小儿外科手术中行丙泊酚靶控加单次硬膜对小儿呼吸、循环影响不大，并且有效果好、苏醒快、安全的特点。

Objective To investigate the implementation effect of propofol target control plus one-time dura mater in pediatric surgery. Methods Eighty children who received surgical treatment in our hospital from September 2012 to January 2014 were selected as the study subjects and randomly and evenly divided into the study group and the control group, which received one-time epidural plus propofol target control and ketamine anesthesia respectively. The patients＇ blood pressure, heart rate, oxyhemoglobin saturation, physical tamper, muscle relaxation and other indicators of the two groups in different time periods were compared. Results In the control group, the blood pressure and heart rates at the beginning of surgery and at the end of surgery increased significantly compared to the blood pressure and heart rate before surgery（P 〈 0.05）, and in the study group, the blood pressure did not change significantly, but it was lower than that of the control group in the corresponding period, with statistically significant difference（P ~ 0.05）. In the study group, the heart rates at the beginning of surgery and at the end of surgery reduced significantly compared to the heart rate before surgery（/） ~ 0.05） and reduced a lot compared to the heart rate of the control group in the corresponding period（P 〈 0.05）. The study group had less physical tamper and shorter awakening time, with statistically significant differences（P 〈 0.05）. Conclusion In pediatric surgery, the implementation of propofol target control plus one-time dura mater does not have large influence on the children＇s respiratory circulation and has the features of good effect, fast awakening and safety.