布比卡因腰麻用于小儿下腹部手术的可行性观察  

The Observation of Spinal Anesthesia with Bupivacaine for Hypogastria Surgery in Children

作　　者：阿良德[1] 马远忠[1] 王祖谦[1] 

机构地区：[1]青海大学附属医院麻醉科,810001

出　　处：《青海医药杂志》2009年第10期13-15,共3页Qinghai Medical Journal

摘　　要：目的：观察（3－5）岁小儿下腹部手术采用腰麻的安全性和可行性。方法：选择拟行下腹部手术的患儿150例,随机分为两组,SA组（n=75）L3－4穿刺行腰麻;EA组（n=75）L2－3穿刺行硬膜外麻醉,两组患儿均于手术开始前静脉注入咪达唑仑0.075mg/kg镇静。观察术中患儿的牵拉反应、恶心的发生率、舒适度、血压下降程度。结果：A组的牵拉反应明显小于B组,但恶心的发生率、MAP下降程度两组无明显差异。结论：（3－5）岁小儿行下腹部手术时可采用腰麻,且此种麻醉方法是一种效果较好的麻醉方式,起效快、镇痛完善、效果确切;硬膜外麻醉也是一种较好的麻醉方式,但术中患儿牵拉反应较重,且麻醉舒适度较差。Objective：To observe the security and feasibility of spinal anesthesia with Bupivacaine for hypogastria surgery in （3 -5） years old children. Methods：In 75 each, 150 children, who would be conducted for hypogastria surgery, were randomLy divided into the SA group in which spinal anesthesia was performed through L3/ L4 interval with Bupivacaine and EA group in which epidural anesthesia was performed through L2/L3 interval with Bupivacaine, and all patients were given Midazolam 0.075mg/kg （vein injection） before operation. The indexes of drag reaction ,incidence of nausea,degree of comfort,blood pressure duration operation were recorded. Results：The drag reaction is less severity in SA group than that in group EA, and the incidence of nausea and decrease of blood pressure did not differed between the both groups. Conclusions： The spinal anesthesia with Bupivacaine for hypo- gastria surgery in （3 - 5） years old children is available because it has a good anesthesia as it acts quickly, analge- sia consummate. Although epidural anesthesia is also a good method for hypogastria surgery in children, the degree of comfort in operation is less than the spinal anesthesia.

关 键 词：小儿 下腹部手术 腰麻 硬膜外麻醉 

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