超声引导下骶管麻醉在小儿下腹部手术中的应用  

Application of Ultrasound-guided Sacral Anesthesia in Children's Lower Abdominal Surgery

作　　者：李爱荣[1] LI Airong(Department of Anesthesiology,Shanxian Central Hospital,Heze,Shandong Province,274300 China)

机构地区：[1]单县中心医院麻醉科,山东菏泽274300

出　　处：《中外医疗》2021年第20期73-76,共4页China & Foreign Medical Treatment

摘　　要：目的探究超声引导下骶管麻醉在小儿下腹部手术应用价值。方法简单随机选取该院2018年1月—2020年9月收治的80例下腹部手术治疗患儿,以随机数字表法分为A、B组,麻醉方法选择中,分别实施常规骶管麻醉、超声引导下骶管麻醉,比较两组麻醉穿刺相关指标、麻醉效果、血流动力学状态及不良反应。结果B组麻醉穿刺时间、穿刺次数水平较A组高,差异有统计学意义(t=2.994,2.421,P<0.05);B组一次穿刺成功率为97.50%,较A组(80.00%)高,差异有统计学意义(χ^(2)=4.507,P<0.05);B组麻醉有效率为100.00%,较A组(85.00%)高,差异有统计学意义(χ^(2)=4.505,P<0.05);麻醉前两组心率(HR)、收缩压(SBP)、舒张压(DBP)、中心静脉压(MAP)水平相近,差异无统计学意义(t=0.705、1.898、0.265、0.711,P>0.05);麻醉后5 min、10 min、20 min及缝皮时,B组HR、SBP、DBP、MAP水平均较A组低,差异有统计学意义(t=3.536、3.946、3.350、1.442、3.764、3.497、2.461、2.774、4.394、3.434、2.793、4.616、6.470、3.101、6.280、6.627,P<0.05);B组不良反应发生率为2.50%,较A组(20.00%)低,差异有统计学意义(χ^(2)=4.507,P<0.05)。结论在小儿下腹部手术中,应用超声引导下骶管麻醉,可缩短麻醉穿刺时间、降低穿刺次数,同时可提升麻醉效果、稳定患儿术中血流动力学指标,效果显著。Objective To explore the value of ultrasound-guided sacral anesthesia in children's lower abdominal surgery.Methods From January 2018 to September 2020,80 children with lower abdomen surgery in the hospital were simpy randomly selected and divided into groups A and B by random number table.In the selection of anesthesia methods,conventional sacral anesthesia and ultrasound-guided sacral anesthesia were performed respectively,and the related indicators of anesthesia puncture,anesthesia effect,hemodynamic status and adverse reactions were compared between the two groups.Results The level of anesthesia puncture time and puncture times in group B was higher than that in group A,and the difference was statistically significant(t=2.994,2.421,P<0.05),and the success rate of one puncture in group B was 97.50%,which was higher than that of group A(80.00%),and the difference was statistically significant(χ^(2)=4.507,P<0.05);the effective rate of anesthesia in group B was 100.00%,which was higher than the group A(85.00%),and the difference was statistically significant(χ^(2)=4.505,P<0.05);before anesthesia,the two groups of heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP),central venous pressure(MAP)levels were similar,and the difference was not statistically significant(t=0.705,1.898,0.265,0.711,P>0.05);5 min,10 min,20 min after anesthesia and at the time of suture,the HR,SBP,DBP,MAP levels of group B were lower than those of group A,and the difference was statistically significant(t=3.536,3.946,3.350,1.442,3.764,3.497,2.461,2.774,4.394,3.434,2.793,4.616,6.470,3.101,6.280,6.627,P<0.05);the incidence of adverse reactions in group B was 2.50%,which was lower than in group A(20.00%),and the difference was statistically significant(χ^(2)=4.507,P<0.05).Conclusion In children's lower abdominal surgery,the application of ultrasound-guided sacral anesthesia can shorten the time of anesthesia puncture,reduce the number of punctures,and at the same time can improve the anesthesia effect and stabilize the

关 键 词：小儿下腹部手术 超声引导 骶管麻醉 

分 类 号：R726[医药卫生—儿科]