地佐辛复合丙泊酚辅助小儿骶管麻醉的效果观察

Clinical effect of dezocine combined with propofol aided sacral anesthesia

目的 观察地佐辛复合丙泊酚辅助骶管麻醉用于2～10岁患儿下腹部、下肢手术的临床疗效。方法 将130例ASA玉～域级且择期下腹部、下肢手术患儿随机分为氯胺酮复合丙泊酚麻醉组（KP组）和地佐辛复合丙泊酚辅助骶管阻滞组（TB组）,各65例,监测记录两组患儿在术前、手术10 min及术后平均动脉压（MAP）、心率（HR）、血氧饱和度（Sp O2）的变化,观察患儿术后清醒时间及恶心呕吐、躁动等不良反应发生率。结果 KP组与TB组患儿Sp O2差异无统计学意义（P〉0.05）。TB组MAP、HR数值波动显著低于KP组,术后清醒时间短于KP组,术后躁动、呕吐等不良反应发生率低于KP组（P〈0.05）。结论 地佐辛复合丙泊酚辅助小儿骶管麻醉用于小儿下腹部、下肢手术效果满意,MAP、HR稳定,术后苏醒快,不良反应发生率低,能为患儿提供满意的麻醉效果,值得临床应用。

Objective To observe the effect of dezocine combined with propofol assisted sacral anesthesia of 2-10 years old children with lower abdomen and lower limb operation. Methods One hundred and thirty cases of ASA I-II patients who underwent lower abdominal and lower limb surgery were selected, and the patients were randomly divided into ketamine combined with propofol anesthesia group （group KP） and propofol combined with dezoeine propofol aided sacral anesthesia group （TB group）, each group with 65 cases. The MAP, HR and pulse oxygen saturation （SpO2） changes before operation, 10 min of operation and postoperation of the two groups were monitoring recorded. The postoperative recovery time, nausea and vomiting, restlessness and other adverse reaction rate of the two groups were compared. Results There was no significant difference in SpO2 between the KP group and the TB group （PM）.05）. The MAP and HR values of TB group were significantly lower than those in group KP, and the recovery time was shorter than KP group after operation, and the incidence rate of adverse reaction was lower than that of group KP （P〈0.05）. Conclusion Dezocine combined with propofol aided sacral anesthesia for abdominal and lower limb surgery has satisfactory effect with stable MAP and HR, faster postoperative recovery, lower incidence rate of restlessness, and can provide satisfactory anesthesia for children, which is worth clinical application.