硬膜外阻滞复合气管内全麻在婴幼儿腹部手术的应用

The application of epidural anesthesia in combination with intravenous anesthesia under intubation in infantile abdominal surgeries.

目的 探讨婴幼儿腹部大、中等手术的理想麻醉方法。方法 我院近年来婴幼儿腹部大、中等手术 82例 ,按不同的麻醉方法 ,分为三组 :A组 39例 ,连续硬膜外阻滞 +气管内全麻 ;B组 2 8例 ,连续硬膜外阻滞 +基础及辅助用药 ;C组 15例 ,气管内全麻。分析、比较各组患者的心率 (HR)、氧饱和度 (SpO2 )的变化、麻醉药用量以及患儿苏醒时间。结果 与B、C组相比 ,A组麻醉效果满意 ,HR平稳 ,术后苏醒快 ,并且SpO2 始终达 98%以上。结论 连续硬膜外阻滞复合气管内全麻是婴幼儿腹部大、中等手术的安全、有效麻醉方法。

Objective To study an ideal anesthesia method in large or medial infantile abdominal surgery.Methods Eighty cases of large or medial infantile abdominal surgeries were analyzed. These cases were divided into three groups according to different anesthesia methods: group A( n =39), epidural anesthesia in combination with intravenous anesthesia under intubation; group B ( n =28), epidural anesthesia in combination with basic and assistant medication; group C( n =15), intravenous anesthesia under intubation. HR, SpO 2, dose of anesthetic and waking time of the infants were analyzed and compared among the three groups.Results In the group A, the anesthesia effects were satisfied, HR steady, SpO 2 over 98% and the waking time short as compared with those in the groups B and C. Conclusion Epidural anesthesia in combination with intravenous anesthesia under intubation is a safe and effective anesthesia method in large or medial infantile abdominal surgeries.