髂筋膜间隙阻滞复合全身麻醉在小儿先天性髋关节脱位矫形手术中的应用  

Application of Fascia Iliaca Compartment Block Combined with General Anesthesia in Orthopedic Surgery for Congenital Dislocation of the Hip in Children

作　　者：郭能起[1] 杜燕燕[1] 朱小兵[1] 陈志毅 彭学强[1] GUO Nengqi;DU Yanyan;ZHU Xiaobing;CHEN Zhiyi;PENG Xueqiang(Department of Anesthesiology,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]中山市中医院麻醉科,广东中山528400

出　　处：《临床医学工程》2023年第12期1677-1678,共2页Clinical Medicine & Engineering

摘　　要：目的探讨髂筋膜间隙阻滞复合全身麻醉在小儿先天性髋关节脱位(CDH)矫形手术中的应用效果。方法70例CDH患儿随机分为两组各35例。对照组采用全身麻醉,观察组采用髂筋膜间隙阻滞复合全身麻醉。比较两组麻醉诱导前(t0)、插管时(t1)、切皮时(t2)、术中1 h(t3)及拔管时(t4)的平均动脉压(MAP)、心率(HR),比较两组的不良反应发生情况。结果观察组t1、t2和t3时的MAP、HR均显著低于对照组(P<0.05)。两组的尿潴留、血压异常、恶心呕吐发生率比较,差异无统计学意义(P>0.05);观察组的苏醒期躁动发生率显著低于对照组(P<0.05)。结论髂筋膜间隙阻滞复合全身麻醉在小儿CDH矫形手术中的应用效果显著,可明显减轻患儿的应激反应,稳定患儿血流动力学指标,降低患儿苏醒期躁动发生率。Objective To explore the application effect of fascia iliaca compartment block combined with general anesthesia in orthopedic surgery for congenital dislocation of the hip(CDH)in children.Methods 70 children with CDH were randomly divided into two groups,with 35 cases in each group.The control group received general anesthesia,and the observation group received fascia iliaca compartment block combined with general anesthesia.The mean arterial pressure(MAP)and heart rate(HR)before anesthesia induction(to),at intubation(t),at skin incision(t2),at 1 h of surgery(t:)and at extubation(t)were compared between the two groups,and the incidences of adverse reactions were compared between the two groups.Results The MAP and HR at ti,t,and t in the observation group were significantly lower than those in the control group(P<0.05).No significant difference was found in the incidences of urinary retention,abnormal blood pressure,and nausea&vomiting between the two groups(P>0.05),while the incidence of agitation during recovery period in the observation group was significantly lower than that in the control group(P<0.05).Conclusions Fascia iliaca compartment block combined with general anesthesia in orthopedic surgery for children with CDH has significant application effect,which can obviously reduce the stress response of children,stabilize the hemodynamic indicators,and reduce the incidence of agitation during recovery period.

关 键 词：髂筋膜间隙阻滞 全身麻醉 先天性髋关节脱位 矫形手术 

分 类 号：R614.4[医药卫生—麻醉学]