骶管阻滞麻醉用于小儿短小手术的体会  

Sacral canal block used for anaesthesia of child short surgical operation and management of the abnormality

作　　者：吴秀英[1] 张妍[1] 吕金[1] 

机构地区：[1]中国医科大学附属盛京医院麻醉科,中国沈阳110004

出　　处：《中国现代医学杂志》2007年第9期1092-1093,共2页China Journal of Modern Medicine

摘　　要：目的观察骶管阻滞在小儿短小手术中的应用，总结小儿短小手术中麻醉异常经过的处理体会。方法选择1-5岁实施短小手术患儿60例，随机分成2组，Ⅰ组为骶管组，采用静脉吸入复合加骶管阻滞麻醉（0．25％罗哌卡因、0．5％利多卡因与生理盐水的混合液1mL／kg）。Ⅱ组为对照组采用静脉吸入复合麻醉，2组均不插管，保留自主呼吸，监测呼吸、ECG、BP、SpO2、HR、苏醒时间、手术时间、恶心、呕吐及术后疼痛等情况。结果Ⅰ组麻醉效果好，苏醒快，术后2h内切口无疼痛。每组各有1例出现喉痉挛。结论骶管阻滞用于小儿短小手术可减少其他静脉麻醉药的用量，苏醒快，并发症少，术后镇痛效果好。[Objective] Observing the application of sacral canal block in the child short surgical operation and summarizing the experience of the management in abnormality. [Methods] 60 patients （1-5 years old）undergoing short surgerical operation were enrolled, and we randomly allocated them into two groups. In Ⅰ group （sacral canal group）, we used venainhalation combined with sacral canal block anaesthesia（0.25% Ropivaeaine and 0.5% Lidocaine combined with normal saline 1ml/kg）. In Ⅱ group （the control group）, we used vena-inhalafion anaesthesia . All pafions keep respiration without intubation. Monitoring Breathing, BP, HR, ECG, SpO2 , waking time, surgery time, vomitting, nausea and ache. [Results] The anaesthesia was better in Ⅰ group, and the patients waked up earlier, and there was no pain in 2 hours after operation. There was one case appearing laryngospasm in the both groups. [Conclusion] Sacral canal block used in child short operation can decrease the dosage of other drugs, and patients wake up earlier. The complications is little, and the effection of analgesia after operation is better.

关 键 词：氯胺酮 骶管麻醉 小儿 喉痉挛 短小手术 

分 类 号：R726.1[医药卫生—儿科]