超声引导骶管阻滞在130例小儿下腹部手术中的应用分析  

Application of ultrasound-guided sacral block in 130 children undergoing lower abdominal surgery

作　　者：余小凡 于盼盼 YU Xiaofan;YU Panpan(Department of Anesthesiology,the People’s Hospital of Kaizhou District,Chongqing 405400,China;Department of Anesthesiology,the Traditional Chinese Medicine Hospital of Rushan,Shandong Rushan 264500,China)

机构地区：[1]开州区人民医院麻醉科,重庆405400 [2]山东省乳山市中医院麻醉科,山东乳山264500

出　　处：《上海医药》2020年第23期67-69,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:观察分析超声引导骶管阻滞在小儿下腹部手术中的应用效果。方法:选择行下腹部手术的260例患儿随机分为观察组与对照组各130例,对照组采取传统骶管阻滞麻醉方法,观察组采取超声引导骶管阻滞。对两组麻醉效果进行对比观察。结果:观察组穿刺时间与穿刺次数均少于对照组(P<0.01),且一次穿刺成功、阻滞成功比例较对照组高(P<0.05),Swoosh试验结果明显优于对照组(P<0.01),手术开始后患儿明显体动低于对照组(P<0.05)。结论:在超声引导下,可以提高骶管穿刺的质量和成功率,并可有效判定穿刺成功率,在小儿下腹部手术中的应用安全、有效。Objective:To observe and analyze the effect of ultrasound-guided sacral block in lower abdominal surgery in children.Methods:Two hundred and sixty cases of children undergoing lower abdominal operation were randomly divided into an observation group and a control group with 130 cases each.The control group underwent traditional sacral canal block anesthesia while the observation group underwent ultrasound guided sacral canal block.The anesthetic effects were compared between the two groups.Results:The puncture time and puncture times were less(P<0.01)and the ratio of successful puncture and block was higher(P<0.05),the results of Swoosh test were significantly better(P<0.01)and the physical movement of the children during operation was significantly lower(P<0.05)in the observation group than the control group.Conclusion:Ultrasound guided sacral canal block can improve the quality and success rate of sacral puncture,and effectively judge the success rate of puncture and its application in lower abdominal surgery is safe and effective.

关 键 词：超声引导 骶管阻滞 小儿 下腹部手术 

分 类 号：R614.42[医药卫生—麻醉学] R726.5[医药卫生—外科学]