超声引导臂丛神经阻滞联合丙泊酚镇静在小儿上肢手术中的应用  

Application of Ultrasound-Guided Brachial Plexus Block Combined with Propofol Induced Sedation in Pediatric Upper Extremity Surgery

作　　者：董敏[1] 张萍英[2] 吴文春[1] 邓孝桢[1] 吕宏伟[1] 余黎媛 

机构地区：[1]襄阳市中医医院/湖北中医药大学附属襄阳医院麻醉科,湖北襄阳441000 [2]襄阳市中心医院/湖北文理学院附属医院儿科,湖北襄阳441021

出　　处：《临床医学工程》2016年第4期419-420,共2页Clinical Medicine & Engineering

摘　　要：目的探讨超声引导臂丛神经阻滞联合丙泊酚镇静在小儿上肢手术中的应用。方法将拟行上肢手术的68例患儿随机分为两组各34例。治疗组给予超声引导下臂丛神经阻滞复合丙泊酚麻醉,对照组给予氯胺酮复合丙泊酚麻醉。比较两组的手术时间、术中出血量、呼吸抑制/呛咳情况、苏醒时间、OPS评分及躁动评分。结果两组手术时间和术中出血量差异不显著(P>0.05)。治疗组呼吸抑制/呛咳比例、OPS评分以及躁动评分均显著低于对照组,苏醒时间显著短于对照组(P<0.01)。结论超声引导臂丛神经阻滞复合丙泊酚镇静用于小儿上肢手术镇痛效果显著,围手术期舒适度增加,具有较高的临床应用价值。Objective To explore the application of ultrasound-guided brachial plexus block combined with proporfol induced sedation in pediatric upper extremity surgery. Methods 68 children undergoing upper extremity surgery were randomized into two groups, with 34 cases in each group. The treatment group was given ultrasound-guided brachial plexus block combined with proporfol for anesthesia, the control group was given ketamine combined with proporfol for anesthesia. The operation time, intraoperative bleeding volume, conditions of respiratory depression/bucking, awakening time, objective pain score and agitation score were compared between two groups. Results The operation time, intraoperative bleeding volume in two groups had no statistical difference （P 〉0.05）. The rate of respiratory depression/bucking, scores of OPS and agitation in treatment group were significantly lower than those in control group, and the awakening time was significantly shorter than that in control group（P 〈0.01）. Conclusions Ultrasound-guided brachial plexus block combined with proporfol induced sedation has significant analgesic effect, with better perioperative comfort and higher clinical application value.

关 键 词：超声引导 小儿 臂丛阻滞 丙泊酚 

分 类 号：R726.1[医药卫生—儿科]