基础麻醉复合骶管阻滞在小儿腹股沟疝手术中的应用

On the Experience in Pediatric Inguinal Hernia Operation in the Implementation of Basal Anesthesia Combined with Sacral Block

目的总结基础麻醉复合骶管阻滞在小儿腹股沟疝手术中的应用体会。方法选择2013年襄阳职业技术学院附属医院小儿腹股沟疝手术患者30例,在行氯胺酮和咪达唑仑基础麻醉后实施骶管阻滞,术中监测患儿血压(BP)、心率(HR)、心电图(ECG)、脉搏血氧饱和度(Sp02)、呼气末二氧化碳分压(PETCO2),并做出麻醉效果评定。结果 30例患儿的麻醉效果:优者28例(占93.3%),良者2例(占6.7%),差者0例。所有患儿生命体征平稳,均未出现麻醉意外或不适。结论在小儿腹股沟疝手术时采用基础麻醉复合骶管阻滞安全而有效,值得信赖。

Objective： To summarize the experience in pediatric inguinal hernia operation in the implementation of basal anesthesia combined with sacral block. Method：select 2013 in our hospital pediatric inguinal hernia operation in 30 cases, good ketamine and application of sacral block implementation of midazolam after basal anesthesia, monitoring blood pressure during operation（BP）, heart rate（HR）, electrocardiogram（ECG）,pulse oxygen saturation（Sp02）, end tidal carbon dioxide partial pressure（PETCO2, and make the anesthesia effect evaluation. Results： the effect of anesthesia in 30 cases, good in 28 cases（93.3%）, good in 2 cases（6.7%）,poor in 0 cases. All children with stable vital signs, there were no anesthetic accident or discomfort. Conclusion：anesthesia combined with sacral anesthesia is safe and effective in pediatric inguinal hernia operation and it is trustworthy.