丙泊酚-芬太尼静脉麻复合骶麻在小儿隐匿阴茎手术中的应用  

Application of propofol-fentanyl intravenous anesthesia combined with caudal anesthesia in children undergoing concealed penis surgery

作　　者：许春城[1] 张秀贤[2] 钟锡盛 翁剑武[1] 巫伟昭 XU Chuncheng;ZHANG Xiuxian;ZHONG Xisheng;WENG Jianwu;WU Weizhao(Department of Anesthesiology,Puning People's Hospital,Guangdong,Puning 515300,China;Operating Room,Puning People's Hospital,Guangdong,Puning 515300,China;Department of Urology,Puning People's Hospital,Guangdong,Puning 515300,China)

机构地区：[1]广东省普宁市人民医院麻醉科,广东普宁515300 [2]广东省普宁市人民医院手术室,广东普宁515300 [3]广东省普宁市人民医院泌尿外科,广东普宁515300

出　　处：《中国医药科学》2019年第14期88-90,140,共4页China Medicine And Pharmacy

基　　金：广东省揭阳市科技计划项目(2018wsy1045)

摘　　要：目的分析丙泊酚-芬太尼静脉麻复合骶麻在小儿隐匿阴茎手术中的应用效果。方法选取我院于2018年3~11月期间收治的50例隐匿阴茎手术患儿,随机分为两组,对照组与观察组各25例,对照组为单纯咪达唑仑-丙泊酚-芬太尼静脉麻组,观察组为丙泊酚-芬太尼静脉麻复合骶管麻醉组,对比两种麻醉方法的应用效果,观察指标包括丙泊酚、芬太尼、咪达唑仑总用量,术后清醒时间,术中、复苏期不良反应发生率。结果观察组患儿的麻药总用量与术后清醒时间均少于对照组,差异有统计学意义(P<0.05);观察组患儿的术中、复苏期不良反应发生率(8.0%)低于对照组(28.0%),差异有统计学意义(P<0.05)。结论丙泊酚-芬太尼静脉麻复合骶麻在小儿隐匿阴茎手术中的应用效果确切,具有用药少、苏醒时间短、不良反应发生率低、安全性高等优势,是一种较理想的麻醉方法,值得临床推行。Objective To analyze the application effect of propofol and fentanyl intravenous anesthesia combined with caudal anesthesia in children undergoing concealed penis surgery. Methods 50 children who undergoing concealed penis surgery in our hospital from March 2018 and November 2018 were selected.They were randomly divided into the control group and the observation group,with 25 cases in each group.The control group was given intravenous anesthesia of midazolam,propofol and fentanyl while the observation group was given intravenous anesthesia of propofol and fentanyl combined with caudal anesthesia.The application effects of the two anesthesia methods were compared.The observation indexes included the total dosage of propofol,fentanyl and midazolam,the postoperative waking time and the incidence of adverse reactions during surgery and during the recovery period. Results The total dosage of anesthetics and postoperative waking time in the observation group were both less than those in the control group,and the difference was statistically significant (P < 0.05).The incidence of adverse reactions during surgery and during the recovery period in the observation group (8.0%) was lower than that in the control group (28.0%).The difference was statistically significant (P < 0.05). Conclusion Propofol and fentanyl intravenous anesthesia combined with caudal anesthesia in children undergoing concealed penis surgery has accurate application effects,which has advantages of less drug use,short recovery time,low incidence of adverse reactions and high safety.It is an ideal anesthesia method and worthy of clinical application.

关 键 词：丙泊酚-芬太尼静脉麻醉 骶管麻醉 小儿隐匿阴茎手术 麻醉效果 

分 类 号：R726.1[医药卫生—儿科]