摘要
目的观察单次剂量异丙酚-芬太尼辅助骶管阻滞用于小儿短小手术的临床效果。方法 60例3~6岁行斜疝手术的患儿,ASA分级Ⅰ~Ⅱ级,随机分成两组：K组在异丙酚复合氯胺酮（1mg/kg）下行骶管阻滞,F组在异丙酚复合芬太尼（2μg/kg）下行骶管阻滞,比较两组患儿的麻醉效果。结果两组患儿术中、术后复苏期间各项生命体征及苏醒时间无统计学差异,F组苏醒期烦躁不安、哭闹者及恶心呕吐者较少,分别为0例（0%）和1例（3%）;而K组则为4例（13%）和4例（13%）。结论异丙酚复合芬太尼用于辅助小儿骶管阻滞,苏醒快,苏醒期安静、无哭闹及恶心呕吐发生率低,优于异丙酚复合氯胺酮。
Objective To observe the clinical effects of propofol-fentanyl used as adjuncts of pediatric caudal block.Methods Sixty children aged 3-6 years scheduled for elective inguinal hernia repair were randomly allocated to two groups：group K received caudal block under single dose of propofol-ketamine;group F received caudal block under single dose of propofol-fentanyl.Compare the anesthetic effects of two groups.Results The vital signs during operation and post operation and wake-up time of two groups have no statistical significance.F group has a low incidence of dysphoria and nausea and vomit,0 case（0%）and 1case（3%）,respectively.It′s 4 cases（13%）and 4 cases（13%）,respectively for K group.Conclusion Propofol-fentanyl used as adjuncts of pediatric caudal block has advantage of rapid,quiet wake-up,with low incidence of nausea and vomit,better than propofol-ketamine.
出处
《广州医药》
2011年第3期30-32,共3页
Guangzhou Medical Journal
