高位硬膜外麻醉和全麻对婴幼儿动脉导管未闭手术控制性降压的影响  

Clinical Effect of High Epidural Anesthesia on Controlled Reduction of Blood Pressure in Infants During Operation of Patent Ductus Arteriosus Ligation

作　　者：张建敏[1] 吕红[1] 刘忠玉 郑铁华[1] 王芳[1] 

机构地区：[1]首都医科大学附属北京儿童医院麻醉科 [2]秦皇岛妇幼保健医院麻醉科

出　　处：《首都医科大学学报》2006年第4期547-549,共3页Journal of Capital Medical University

摘　　要：目的观察高位硬膜外麻醉和全麻异氟烷吸入在婴幼儿动脉导管未闭(PDA)手术降压中的临床应用。方法将40例患儿分为2组:高位硬膜外麻醉组(20例)和全麻异氟烷吸入组(20例),观察比较2组的降压效果。结果2组降压效果比较差异无统计学意义(P>0.05),高位硬膜外麻醉组在手术结束时心血管指标恢复平稳,与全麻异氟烷吸入组相比,差异有统计学意义(P<0.05),而且拔管时间明显缩短。结论2种降压方法均可行控制性降压,高位硬膜外麻醉使婴幼儿心血管反应更加稳定,对循环系统的扰乱程度轻,保护了婴幼儿的应激反应。Objective To observe the effect of blood pressure reduction induced with high epidural anesthesia and general anesthesia in patent ductus arteriosus （PDA） ligation operation. Method 40 infants were randomly assigned to two groups （group Ⅰ with high epidural anesthesia and group Ⅱ with general anesthesia）. Results There were no significant difference between two groups on controlled reduction of blood pressure. In group Ⅰ , blood pressure increased steadily compared with group Ⅱ. And recovery time were much shorter. Conclusion High epidural anesthesia for PDA ligation can hardly affect cardiovascular status and blunt the stress response.

关 键 词：降压 控制性 硬膜外麻醉 动脉导管未闭 婴幼儿 

分 类 号：R614.42[医药卫生—麻醉学] R726.1[医药卫生—外科学]