骶管麻醉复合依托咪酯在小儿下腹部手术的应用  

作　　者：曾建红[1] 简旭华[1] 李运繁 莫海龙[1] 

机构地区：[1]广东省廉江市人民医院麻醉科,廉江524400

出　　处：《北方药学》2015年第2期18-19,共2页Journal of North Pharmacy

摘　　要：目的：探讨盐酸罗哌卡因骶管阻滞复合依托咪酯麻醉在小儿下腹部手术中的应用效果。方法：选择拟行择期手术的患儿80例,随机分为两组,每组40例,依托咪酯组（A组）和氯胺酮组（B组）。A组给予0.25%盐酸罗哌卡因1ml/kg骶管阻滞复合依托咪酯3mg/（kg·h）静脉麻醉。B组给予氯胺酮组0.5~1.5mg/（kg·h）静脉麻醉。记录两组患儿在麻醉前、术中探查时、收缩压（SBP）、心率（HR）的变化,术后并发症恶心呕吐、呼吸抑制、术后烦躁的发生率和术毕苏醒时间。结果：B组在术中探查时SBP、HR明显高于A组（P〈0.01）,且恶心呕吐、呼吸抑制、术后烦躁哭闹发生率高于A组（P〈0.05）,术毕苏醒时间明显比A组延长（P〈0.05）。结论：盐酸罗哌卡因骶管阻滞复合依托咪酯麻醉用于小儿下腹部手术是一种镇痛好、循环稳定、苏醒快、并发症少的麻醉方法。Objective ：To investigate the ropivacaine hydrochloride sacral block combined with etomidate anesthesia used in pediatric abdominal operation under the effect of. Methods： undergoing operation in 80 cases, were randomly divided into two groups, 40 cases in each group, etomidate group （group A） and ketamine group （B group）. Group A received lml of 0.25% ropivacaine hydrochloride / kg sacral block combined with etomidate 3mg/（kg-H） intravenous anesthesia. B group received ketamine group 0.5-1.Smg/（kg-H） intravenous anesthesia. Two groups were recorded before anesthesia, intraoperative exploration,systolic blood pressure （SBP）, heart rate （HR）changes, postoperative complications of respiratory depression, nausea and vomiting, postoperative restlessness occurrence rate and the time of analepsia. Results： in group B, intraoperative exploration SBP, HR was significantly higher than group A （P〈O.O1）, and respiratory depression, nausea and vomiting, postoperative irritable crying rate higher than that of A group （P〈0.05）,the time of analepsia compared to A group extension （P〈0.05）. Conclusion： Ropivacaine Hydrochloride sacral block combined with etomidate anesthesia in pediatric abdominal operation is a good analgesic, cycle stability, fast recovery, less complication anesthesia.

关 键 词：依托咪酯 骶管阻滞 小儿麻醉 盐酸罗哌卡因 

分 类 号：R614[医药卫生—麻醉学]