骶麻复合静脉全身麻醉在小儿隐匿性阴茎延长术的临床麻醉效果  

Clinical effect of caudal anesthesia combined with intravenous general anesthesia in pediatric concealed penis lengthening

作　　者：蔡靓羽[1] 张建楠[1] 尹卫娟[1] 徐敏逸[1] Liang-yu Cai Jian-nan Zhang Wei-Juan Yin Min-yi Xu(Wuxi Affiliated Hospital of Nanjing University of Chinese Medicine, Wuxi, Jiangsu 214071, China)

机构地区：[1]南京中医药大学无锡附属医院,江苏无锡214071

出　　处：《中国现代医学杂志》2016年第24期110-113,共4页China Journal of Modern Medicine

摘　　要：目的探讨骶麻复合静脉全身麻醉在小儿隐匿性阴茎延长术的临床麻醉效果。方法选取近期行小儿隐匿性阴茎延长术52例为研究对象。随机分两组,每组各26例,A组行单纯静脉全身麻醉,B组行骶麻复合静脉全身麻醉,观察两组不同的麻醉效果。结果 B组麻醉效果较A组满意,B组与A组在进入手术时(T0)、麻醉诱导入睡后(T1)、手术开始时(T2)、手术开始后30 min(T3)、手术结束时(T4)、出手术室时(T5)6个时间点比较,在手术后清醒时间、术中心率、辅助呼吸次数、肢体运动、追加静脉全身麻醉药物等方面进行比较,差异有统计学意义(P<0.05),两组患儿在进入手术室时(T0)、麻醉诱导入睡后(T1)的血氧饱和度(SpO_2)和心率(HR)之间比较差异无统计学意义(P>0.05)。B组在手术开始时(T2)、手术开始后30 min(T3)、手术结束时(T4)、出手术室时(T5)心率(HR)相对较A组慢且平稳(P<0.05),血氧饱和度(SpO_2)在手术开始时(T2)、手术开始后30 min(T3)、手术结束时(T4)较A组高(P<0.05),出手术室时(T5)两组血氧饱和度(SpO_2)差异无统计学意义(P>0.05);B组手术后苏醒时间(TR)(2.08±2.05)min少于A组(21.31±5.16)min(P<0.05),B组手术中使用全身麻醉药总量(8.23±1.77)ml少于A组(22.0±6.77)ml(P<0.05),B组手术过程中体动次数(TT)(0.77±0.51)少于A组(2.77±0.90)(P<0.05),B组麻醉过程中需辅助呼吸次数(F)(1.46±1.34)少于A组(2.62±1.32)(P<0.05)。结论骶麻复合静脉全麻在小儿隐匿性阴茎延长术的应用中麻醉更平稳,麻醉苏醒更顺利,安全性更高,值得推广应用。Objective To explore the clinical effect of caudal anesthesia combined with intravenous general anesthesia in pediatric concealed penis lengthening. Methods A total of 52 children undergoing pediatric concealed penis lengthening recently were selected as subjects, and were randomly divided into 2 groups with 26 children in each group. A group was treated with a simple intravenous general anesthesia, while B group received caudal anesthesia combined with intravenous general anesthesia. Anesthetic effects in the 2 groups were observed. Results Anesthetic effect of the B group underwent caudal anesthesia combined with intravenous general anesthesia was satisfactory. And comparisons of two groups in postoperative awake time, intraoperative heart rate, assistant respiratory rate, body movement and additional intravenous general anesthesia drugs showed statistical significance （P 〈 0.05）. Blood oxygen saturation （SpO2） and heart rate （HR） of two groups when patients enter the operating room （T0） and anesthesia induction asleep （T1） had no significant difference （P 〉 0.05）. The HR in group B at the start of operation（T2）, operation after 30 min （T3）, at the end of surgery （T4）, and the time of leaving the operating room （T5） were relatively slow and steady compared with group A （P 〈 0.05）. The SpO2 at the beginning of surgery （Tz）, 30 min after the start of operation （T3）, at the end of surgery （T4） were relatively high in group A （P 〈 0.05）, and SpO2 of the time of leaving operating room （T5） in two groups had no significant difference （P 〉 0.05）. The awakening time （TR） after surgery in group B （2.08 ±2.05） rain was significantly less than group A （21.31 ±5.16） rain （P 〈 0.05）. The dose of general anesthetics （8.23 ± 1.77） ml in group B was significantly less than group A （22.0 ±6.77 ml） （P 〈 0.05）, and procedure body move number （TT） in group B （0.77 ±0.51） was significantly less than in group A

关 键 词：骶麻复合静脉全身麻醉 单纯静脉全身麻醉 隐匿性阴茎延长术 

分 类 号：R614.24[医药卫生—麻醉学]