论文部分内容阅读
目的:研究分析全麻复合臂丛神经阻滞在小儿上肢手术中的应用效果。方法:选取我院收治的68例上肢手术患儿,将其分为丙泊酚、七氟醚和氯胺酮组进行麻醉,对比麻醉效果。结果:丙泊酚组患者与其他两组患者比较,术后呕吐和躁动发生率较低,术后苏醒时间短;丙泊酚组患者MAP与麻醉前比较均有一定的降低,且七氟醚组患儿变化不明显,而氯胺酮组患儿MAP有不同程度提升。结论:用七氟醚吸入麻醉和丙泊酚静脉麻醉联合肌间沟臂丛神经阻滞,在小儿上肢手术中取得了良好的效果。
Objective: To study the effect of general anesthesia combined with brachial plexus block in pediatric upper limb surgery. Methods: A total of 68 cases of upper extremity surgery admitted to our hospital were selected and divided into propofol, sevoflurane and ketamine groups for anesthesia. Results: Compared with the other two groups, the propofol group had a lower incidence of postoperative vomiting and restlessness and shorter recovery time after surgery. The MAP in propofol group was lower than that before anesthesia, and sevoflurane The changes of children in the group were not obvious, while MAP in children of ketamine group improved to some extent. Conclusion: Sevoflurane inhalation anesthesia and propofol intravenous anesthesia combined with intermuscular brachial plexus block in pediatric upper limb surgery has achieved good results.