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目的探讨骶管阻滞复合七氟醚吸入麻醉在小儿疝修补手术中的应用,并评估其安全性。方法 120例小儿疝修补手术患儿作为研究对象,随机分为对照组和实验组,各60例。对照组肌内注射5 mg/kg氯胺酮,后行骶管阻滞麻醉穿刺,分次注入0.2%~0.3%盐酸罗派卡因1 ml/kg;实验组吸入6%~8%七氟醚麻醉,后将0.2%~0.3%盐酸罗派卡因1 ml/kg分次缓慢注入。观察两组治疗效果。结果实验组苏醒时间和诱导时间均明显短于对照组(P<0.05);实验组并发症发生率6.67%明显低于对照组的21.67%(P<0.05)。结论骶管阻滞复合七氟醚吸入麻醉易被患儿接受,起效快、恢复快、诱导迅速、麻醉过程更平稳,有利于小儿疝修补手术的顺利进行,安全可靠。
Objective To investigate the application of caudal block combined sevoflurane inhalation anesthesia in pediatric hernia repair surgery and evaluate its safety. Methods A total of 120 children with hernia repair surgery were randomly divided into control group and experimental group, with 60 cases in each group. The control group was intramuscularly injected with 5 mg / kg ketamine and caudal caudal anesthesia punctured, and 0.2% ~ 0.3% hydrocortisone hydrochloride was injected in 1 ml / kg subcutaneously. The experimental group was infused with 6% -8% sevoflurane , 0.2% ~ 0.3% hydrochloric acid ropivacaine 1 ml / kg sub-slow injection. Observation of two groups treatment effect. Results The recovery time and induction time in the experimental group were significantly shorter than those in the control group (P <0.05). The incidence of complications in the experimental group was significantly lower than that in the control group (6.67% vs 21.67%, P <0.05). Conclusion caudal block compound inhalation anesthesia sevoflurane easily accepted by children, fast onset, rapid recovery, rapid induction, anesthesia process is more stable, is conducive to the smooth operation of pediatric hernia repair, safe and reliable.