骶管麻醉复合丙泊酚在小儿麻醉中的应用  

Application of Sacral Block Combined with Propofol in Children Anesthesia

作　　者：黄硕[1] 魏秀吾[1] 吴善苏[1] 张建敏[2] 上官明化[1] 陈真福[1] 黄圣余[3] 

机构地区：[1]福建医科大学临床教学专业基地,三明市第二医院麻醉科,福建省永安市366000 [2]北京儿童医院麻醉科,100000 [3]福建医科大学临床教学专业基地,三明市第二医院小儿外科,福建省永安市366000

出　　处：《中华全科医学》2008年第11期1136-1137,共2页Chinese Journal of General Practice

摘　　要：目的探讨骶管麻醉复合丙泊酚用于小儿麻醉的疗效和安全性。方法68例患儿随机分成两组,骶管麻醉组(A组,n=34)和氯胺酮组(B组,n=34),A组应用骶管麻醉复合丙泊酚全麻,B组应用氯胺酮全麻。于麻醉前、切皮、术中、术毕记录其血压(BP)、心率(HR)、呼吸频率(RR)、血氧饱和度(SpO2),并比较两组苏醒时间。结果基础麻醉后和术中两组的BP、HR、RR差异有统计学意义,A组明显低于B组(P<0.01),而A组SpO2高于B组(P<0.01)。苏醒时间也短于B组(P<0.01)。结论骶管麻醉复合丙泊酚的方法简单实用、疗效确切、麻醉用药少、苏醒时间短、安全可靠,在小儿腹部以下手术中是一种较理想的麻醉方法。Objective To explore the efficacy and safety of Sacral block combined with propofol in anesthesia in children. Methods Sixty-eight patients were randomly divided into two groups： sacral block group（ group A, n = 34） and ketamine group （ group B, n = 34）. Group A received sacral block combined with propofol general anesthesia, while group B received ketamine general anesthesia. The blood pressure（BP）, heart rate（HR） , respiratory rate （RR） and SpO2 were recorded before, during and after anesthesia. The recovery time was compared between two groups. Results BP,HR and RR value were much higher in group B than those in group A （ P 〈 0.01 ）. The recovery time was significantly longer in group B than that in group A （ P 〈 0.01 ）. Conclusions The sacral block combined with propofol is a simple, practical, effective, safe and reliable method with less narcotic medication and short recovery time. It is an ideal anesthesia method of following abdominal surgery in children.

关 键 词：骶管麻醉 丙泊酚 小儿麻醉 

分 类 号：R614.4[医药卫生—麻醉学]