小儿手外科臂丛麻醉联合异丙酚泵注的临床效果分析

Clinical Effect Analysis of Pediatric Hand Surgery Brachial Plexus Anesthesia Combined With Propofol Infusion

目的研究小儿手外科臂丛麻醉联合异丙酚泵注的临床效果。方法试验对象：我院2014年2月~2016年1月收治的83例小儿手外科患儿。患儿分组方法 ：随机数字表法。83例患儿分为臂丛麻醉组和联合麻醉组两个组别。臂丛麻醉组采取臂丛麻醉;联合麻醉组采取臂丛麻醉联合异丙酚泵注麻醉。观察指标：（1）麻醉效果;（2）麻醉不良反应率;（3）患儿心率、呼吸、血压的差异。结果 （1）联合麻醉组相比于臂丛麻醉组麻醉效果更高,χ2检验结果 P〈0.05;（2）联合麻醉组相比于臂丛麻醉组麻醉不良反应率相似,χ~2检验结果 P〉0.05;（3）联合麻醉组相比于臂丛麻醉组心率、呼吸、血压更低,t检验结果 P〈0.05。结论小儿手外科臂丛麻醉联合异丙酚泵注的临床效果确切,可有效提升麻醉效果,减轻对小儿生命体征的影响,且不增加麻醉不良反应,安全性高。

Objective To study the pediatric hand surgery brachial plexus anesthesia combined with propofol infusion clinical results. Methods Subjects： 83 cases of children with pediatric hand surgery in admitted in our hospital from February 2014 to January 2016. Children grouping method： random number table. 83 cases were divided into groups and brachial plexus anesthesia group two groups. Brachial plexus anesthesia take brachial plexus anesthesia, brachial plexus anesthesia group received anesthesia combined with propofol infusion anesthesia：（1） Anesthesia.（2） Anesthesia adverse reaction rate.（3） The difference in heart rate, respiration, blood pressure. Results（1） Anesthesia group compared to the higher brachial plexus anesthesia anesthetic effect, χ~2 test results P〈0.05.（2） Compared to the brachial plexus anesthesia anesthesia anesthesia adverse reaction rates were similar, χ~2 test results P〉0.05.（3） Anesthesia group compared to the brachial plexus anesthesia heart rate, respiration, lower blood pressure, t test results P〈0.05. Conclusion Pediatric hand surgery brachial plexus anesthesia combined with propofol infusion exact clinical effect can be. effectively enhance the anesthetic effect, reducing the impact on children vital signs, without increasing adverse effects of anesthesia, safe.