【摘要】 目的观察骶管阻滞对学龄前儿童静脉麻醉苏醒时间的影响。方法将36例拟行下腹部以下部位手术的学龄前儿童分为骶管阻滞结合丙泊酚静脉麻醉组(Ⅰ组)和单纯静脉麻醉组(Ⅱ组)。结果两组患儿术中镇痛完善、术野肌松满意、无肢体动;基础MAP、HR比术中高,术中MAP、RR、HR、SpO2维持稳定。Ⅰ组有两例切皮时由于轻微体动追加了一次氯胺酮,Ⅱ组均视情况追加了1～3次氯胺酮。Ⅰ组术毕均于25min内清醒,平均(11·35±3·40)min,术毕清醒时间远远少于Ⅱ组,平均时间(113·50±32·80)min(p<0·01)。Ⅰ组1例小儿出现尿潴留;全部小儿清醒后安静无哭闹。Ⅱ组小儿清醒后均出现哭闹。两组患儿清醒后没有出现呕吐。结论骶管阻滞结合丙泊酚静脉麻醉镇痛确切,呼吸、循环功能稳定,清醒快。更多还原

【Abstract】 Objective To investigate the influence of sacral block for pre-school children intravenous anesthesia on awaking time.Method 36 cases of abdominal surgery will be the preschoolers devided into group I(the caudal block with propofol anesthesia) and group II(with simple intravenous anesthesia).Result The children have the analgesic perfect,muscle relaxants with surgical field without physically moving;Basic MAP,HR were higher than those during the operation;MAP,RR,HR,SpO2 remained stable(Table 1).In Group 1 two cases take an additional ketamine due to skin incision,in group II,as the case take three additional ketamine.Group 1 are awakened in 25 minutes,an average of(11.35 ± 3.40) min after the operation clearly take much less time than group II intravenous ketamine group,an average of(113.50 ± 32.80) min(p<0.01).Group 1 a mild case of pediatric urinary retention;After all the children clearly not crying quietly.Group II after a sober children crying.Two groups of children with no clear after vomiting.Conclusion Caudal block with intravenous propofol anesthesia and analgesia precise,respiratory and circulatory functions stable,sober fast.更多还原