曲马多丙泊酚复合骶管阻滞在小儿下腹部手术的临床观察  

Application of tramadol propofol combined with sacral block in blow belly surgery in children

作　　者：李红喜[1] 

机构地区：[1]漳州市医院,363000

出　　处：《中国实用医药》2011年第30期15-16,共2页China Practical Medicine

摘　　要：目的探讨曲马多丙泊酚复合骶管阻滞用于小儿下腹部手术的临床效果和安全性。方法 60例患儿随机分成2组,曲马多丙泊酚复合骶管阻滞组(Ⅰ组,n=30)和氯胺酮丙泊酚复合骶管阻滞组(Ⅱ组,n=30),I组应用曲马多丙泊酚复合骶管阻滞,Ⅱ组应用氯胺酮丙泊酚复合骶管阻滞。于麻醉前、切皮、术中、术毕记录其血压、心率、呼吸频率、血氧饱和度,并比较2组苏醒时间以及苏醒时躁动。结果术中血压、心率、呼吸频率,Ⅱ组高于Ⅰ组,差异有统计学意义(P<0.05);Ⅰ组苏醒时间明显短于Ⅱ组,Ⅰ组苏醒时躁动明显少于Ⅱ组,差异有统计学意义(P<0.01)。结论曲马多丙泊酚复合骶管阻滞用于小儿腹部以下手术,呼吸、循环稳定,麻醉满意,术后恢复快,是一种较为理想的麻醉方法。Objective It is to approach the efficacy and safety of tramadol pmpofol combined with sacral block in blow belly surgery in children. Methods Sixty patients with blow belly disease were randomly divided into two groups： tramadol propofol combined with sacral block group （ group I , n = 30） and ketamine propofol combined with sacral block group （ group II , n = 30 ）. Patients In group I were received tramadol propofol combined with sacral block anesthesia. Patients In group II were received ketamine pmpofol combined with sacral block anesthesia. The blood pressure, heartrate, andrespiratory rate were recorded before, during and after anesthesia, the recovery time and restlessness during the time of palinesthesiwas comparedbetween two groups. Restflts Blood pressure ,heart rate and respiratory rate were higher in group n than those in group I （ P 〈 0. 05 ）. The recovery time was significantly longer in group II than that in group I , restlessness during the time of pallnesthesi more in group II than that in group I （ P 〈 0. 01 ）. Conclusion Tramadol propofol combined with sacral block can be used as a safe anesthetic in blow belly surgery in children.

关 键 词：曲马多 丙泊酚 骶管阻滞 下腹部手术 

分 类 号：R726.1[医药卫生—儿科]