新生儿先天性巨结肠根治术两种麻醉方法优劣的比较  

The comparison of two anesthesia for congenital Hirschsprung's radical excision in neonate

作　　者：郑宏茹[1] 马维根[1] 薛玉良[2] 

机构地区：[1]天津市儿童医院麻醉科,天津300070 [2]天津泰达国际心血管病医院

出　　处：《天津医科大学学报》2004年第4期547-548,552,共3页Journal of Tianjin Medical University

摘　　要：目的 :对新生儿先天性巨结肠根治术两种不同麻醉方法的术后恢复情况进行比较。方法:33名新生儿均行先天性巨结肠根治术 ,随机选择麻醉方法 ,分为小剂量氯胺酮肌注加硬膜外阻滞组(A组 ,19人)和全身麻醉组(B组 ,14人)。记录患儿术后生命体征和苏醒情况。结果:A组术后的平均心率高于B组而平均血压低于B组 ,术后拔管时间B组明显长于A组。结论:对于新生儿麻醉 ,基础麻醉加神经阻滞的方法更有利于术后恢复。Objective:To compare the influence on the postoperative recovery of different anesthesia in congenital Hirschsprung's radical excision in newborn.Methods:33cases(age ranges:1～28days),undergoing endo-rectal colon radical excision for congenital Hirschsprung's disease were allocated into2groups randomly:basic anesthesia plus regional blockade was administrated in group A(n=19)and general anesthesia in group B(n=14).Then,to observe and record the patients'vital signs:postoperative heart rate,blood pressure,SpO 2 and orientation.Results:The average heart rate of patients in group A was higher than that in group B,but the average blood pressure and the time of postoperative extubation of group A were lower than those in group B.Conclusion:In newborn anesthesia,regional blockade is beneficial to postoperative recovery.

关 键 词：新生儿 先天性巨结肠 苏醒 

分 类 号：R656.9[医药卫生—外科学] R614.2[医药卫生—临床医学]