连续硬膜外阻滞复合基础麻醉在小儿腹股沟区手术应用

Application of continuous epidural block combined with basal anesthesia in pediatric inguinal region operation

摘要:

目的：观察连续硬膜外阻滞复合基础麻醉小儿腹股沟区手术的有效性及安全性。方法：60例腹股沟区需手术的患儿，随机分为2组，A组（连续硬膜外阻滞复合基础麻醉）、B组（氯胺酮肌注基础麻醉加氯胺酮﹑咪唑安定静脉麻醉）。结果：２组患儿手术麻醉都较顺利，A组氯胺酮用量和苏醒期不良反应明显优于B组，差异有统计学意义（P＜0.01）。结论：小儿连续硬膜外阻滞复合基础麻醉术后清醒速度较（氯胺酮肌注基础麻醉加氯胺酮﹑咪唑安定静脉麻醉）快，费用低，较安全，值得推广。

Abstract:

Objective：To observe the effectiveness and safety of applying continuous epidural block combined with basal anesthesia in pediatric inguinal region operation. Methods：Totally 60 children requiring operation in inguinal region were randomly divided into group A and group B. Continuous epidural block anesthesia combined with basal anesthesia was used in group A while Ketamine in－tramuscular basal anesthesia combined with Ketamine and Midazolam intravenous anesthesia was applied in group B. Results：The operation was successful in both groups. The Ketamine dosage and adverse reaction in reviving period were better in group A than in group B with statistical significances（P＜0.01）. Conclusions：With advantages of quicker postoperative awaking time，lower cost and safety，pediatric continuous epidural block combined with basal anesthesia is worth popularizing.