多模式镇痛在小儿非气管插管静脉麻醉中的应用  

Application of multimodal analgesia in pediatric non-tracheal intubation intravenous anesthesia

作　　者：邓军[1] DENG Jun(Department of Anesthesiology,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Nationality Autonomous Region,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院麻醉科,广西壮族自治区百色市533000

出　　处：《河北医药》2018年第14期2212-2215,共4页Hebei Medical Journal

基　　金：百色市级资助项目(编号:百科计20140940)

摘　　要：由于气道黏膜屏障和免疫系统尚未发成熟,患儿容易受出现上呼吸道感染合并感染后高气道反应,其增加患儿术中以及术后麻醉风险和气道管理难度。非气管插管静脉麻醉最常用于患儿手术。呛咳、憋气、中枢性呼吸抑制、术后恶心呕吐是阿片类最常见的不良反应。延迟性呼吸抑制增加患儿术后风险。充分和适度的术中镇痛对于降低患儿麻醉风险有积极作用。多模式镇痛通过多种作用机制发挥更好的镇痛效果,减少阿片类镇痛药不良反应。多模式镇痛能降低患儿术中及术后呼吸抑制风险。The shorter operation time and less relax requirement of abdominal muscles are the characters of most pediatric operations.The non-tracheal intubation in intravenous anesthesia is the most common method of pediatric anesthesia.Opiates analgesics have been widely used in non-tracheal intubation of intravenous anesthesia.Respiratory depression,nausea,vomit and constipation are the most common adwords reactions.The anesthesia risk of pediatric patient after operation is increased by the delayed respiratory depression.The adequate and appropriate intra-operative analgesia has positive effects in reducing the anesthesia risks of pediatric patients.Multimodal analgesia can develop better analgesic effects by variety action mechanisms,and reduce the incidence of adwords reactions of opiates analgesics,moreover,which can reduce the respiratory depression risk during operation and after operation.

关 键 词：小儿手术 非气管插管静脉麻醉 阿片类镇痛药 延迟性呼吸抑制 多模式镇痛 

分 类 号：R971.2[医药卫生—药品]