摘要
目的探讨骶管阻滞复合基础麻醉用于小儿麻醉的效果和安全性。方法50例患儿随机分成两组,骶管麻醉组(S组,n=25)和氯胺酮组(K组,n=25),于手术前、切皮时、术中、术毕记录其血压(BP)、心率(HR)、呼吸频率(RR)、脉搏血氧饱和度(SpO2),并比较两组麻醉效果、清醒时间和精神症状。结果切皮时两组的BP、HR有统计学差异,S组明显低于K组(P<0.05)。S组麻醉效果优于K组,其氯胺酮的用量也明显少于K组,且S组术后清醒时间明显缩短,精神症状发生率少。结论骶管阻滞复合氯胺酮麻醉应用于小儿临床麻醉,是安全有效的。
Objective To evaluate the effects and safety of sacral block combined with basal anesthesia in children. Methods Fifty patients were randomly divided into two groups： sacral block group （ group S, n = 25） and ketamine group （ group K, n = 25）. Group S received sacral block combined with ketamine and fentanyl general anesthesia, while group k received ketamine general anesthesia. The systolic blood pressure （SBP）, diastolic blood pressure （DBP） heart rate （HR）, respiratory rate （RR） and SpO2 were recorded before, during and after operation. The anesthesia effects, recovery time and psychiatric symptom were compared between two groups. Results SBP, DBP and HR values were better steady, higher in group K than those in group S （P〈 0.05）. The anesthesia effect was better reliable, recovery time was significantly shorter and psychiatric symptom was rarely in group S than those in group K （P〈 0.05）. Conclusions The sacral block combined with basal anesthesia is practical, effective, safe and reliable.
出处
《临床医学工程》
2010年第1期43-44,共2页
Clinical Medicine & Engineering
关键词
骶管阻滞
氯胺酮
小儿
Sacral block
Basal anesthesia
Children
