骶管麻醉在小儿下肢手术中的应用  

Application of caudal anesthesia in pediatric lower limb surgery

作　　者：胡元建 

机构地区：[1]川煤集团广能公司总医院麻醉科,华蓥638600

出　　处：《中国实用医药》2012年第18期19-20,共2页China Practical Medicine

摘　　要：目的探讨骶管麻醉在小儿下肢手术中应用的临床效果和安全性。方法选择60例行下肢手术的患儿随机分为骶管麻醉(C)组及氯胺酮麻醉(K)组,每组各30例。观察并记录MAP、HR、RR、SpO2,以及术后清醒时间,术后躁动、恶心呕吐不良反应的发生率。结果 C组MAP、HR、RR都比较平稳。K组手术开始后MAP、HR与麻醉前相比显著增高增快(P<0.05),与C组相比明显增高增快(P<0.05)。C组比K组术后清醒快(P<0.01),躁动呕吐不良反应少(P<0.05)。结论骶管麻醉用于小儿下肢手术安全,麻醉效果满意,呼吸循环稳定,不良反应少。Objective To observe clinical effects and safety of caudal anesthesia in pediatric lower limb Surgery. Methods Sixty pediatric patients undergoing lower limb surgery were randomly divided into two groups with 30 cases each. The patients in group C received caudal anesthesia, and those in group K ketamine Anesthesia. MAP, HR,RR and SpOzwere observed and recorded during anesthesia, The wake time, the post- operative incidence of restlessness and vomit were observed as well. Results MAP, HR, RR were not signifi- cantly changed in groupe C. MAP, HR, RR were significantly increased more after operation than those before anesthesia in group K（P 〈0. 05）. So did in group K than those in group C（P 〈0. 05）. The wake time was sig- nificantly shorter in group C than that in group K（P 〈0. 01 ）. The post-operative incidence of restlessness and vomit were significantly lower in group C than those in group K （ P 〈 0. 01 ）. Conclusion Caudal anesthesia can be used effectively and safely in pediatric patients undergoing lower limb surgery, and maintain stable respi- ration and circulation, reduce side effects.

关 键 词：骶管麻醉 小儿 氯胺酮 

分 类 号：R726.1[医药卫生—儿科]