单次腰麻复合静脉全麻在小儿阴茎矫治手术中的应用  

Application of single lumbar anesthesia combined with intravenous general anesthesia in pediatric penile correction surgery

作　　者：罗文 LUO Wen(Department of Anesthesiology of Yudu County Maternal and Child Health Care Hospital in Ganzhou City,Jiangxi Province 342300,China)

机构地区：[1]江西省赣州市于都县妇幼保健院麻醉科,赣州342300

出　　处：《上海医药》2024年第18期28-31,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨单次腰麻复合静脉全麻在小儿阴茎矫治手术中的应用价值。方法:收集2022年1月至2023年10月行小儿阴茎矫治手术患儿50例,按随机数字表法分成对照组和观察组各25例。两组患儿完成术前准备工作后实施阴茎矫治手术,对照组采用静脉全麻,观察组为单次腰麻复合静脉全麻。比较两组患儿的麻醉镇痛效果、不同时间生命体征指标变化情况、芬太尼和丙泊酚总用量、镇痛时间、术后苏醒时间以及麻醉相关不良反应的发生情况。结果:观察组麻醉镇痛优良率为96.00%(24/25),高于对照组的76.00%(19/25,P<0.05)。观察组切皮时(T_(1))、手术开始后10 min(T_(2))、手术结束时(T_(3))平均动脉压(MAP)、心率(HR)水平均低于对照组,组间差异有统计学意义(P<0.05)。观察组芬太尼和丙泊酚总用量低于对照组,镇痛时间长于对照组,术后苏醒时间短于对照组,组间差异有统计学意义(P<0.05)。观察组麻醉相关不良反应总发生率为4.00%(1/25),低于对照组的24.00%(6/25,P<0.05)。结论:单次腰麻复合静脉全麻在小儿阴茎矫治手术中的麻醉镇痛效果好,对患儿生命体征指标影响小,有利于减少静脉全麻药物用量,提高苏醒质量,且安全性较好,值得临床推荐。Objective:To explore the application value of single lumbar anesthesia combined with intravenous general anesthesia in pediatric penile correction surgery.Methods:Fifty pediatric patients who underwent penile correction surgery from January 2022 to October 2023 were collected and according to the random number table method were divided into a control group and an observation group with 25 cases in each group.After completing preoperative preparation,two groups of patients underwent penile correction surgery,the control group received intravenous general anesthesia,while the observation group received single lumbar anesthesia combined with intravenous general anesthesia.The anesthesia and analgesic effects,changes in vital signs at different times,total dosage of fentanyl and propofol,analgesic time,postoperative recovery time,and incidence of anesthesia related adverse reactions between two groups of pediatric patients were compared.Results:The excellent rate of anesthesia and analgesia in the observation group was 96.00%(24/25),which was higher than 76.00%(19/25)in the control group(P<0.05).The time of skin incision(T_(1)),10 minutes after surgery beginning(T_(2)),and at the end of surgery(T_(3)),mean arterial pressure(MAP)and heart rate(HR)levels in the observation group were lower than those in the control group,and the difference between groups was statistically significant(P<0.05).The total dosage of fentanyl and propofol in the observation group was lower than that in the control group,the analgesic time was longer than that in the control group,the postoperative recovery time was shorter than that in the control group,and the difference between groups was statistically significant(P<0.05).The total incidence of anesthesia related adverse reactions in the observation group was 4.00%(1/25),which was lower than 24.00%(6/25)in the control group(P<0.05).Conclusion;Single lumbar anesthesia combined with intravenous general anesthesia has a good anesthetic and analgesic effect in pediatric penile correction surge

关 键 词：生殖器畸形 阴茎矫治手术 单次腰麻 麻醉镇痛效果 

分 类 号：R726.9[医药卫生—儿科]