地佐辛复合丙泊酚辅助小儿骶管麻醉的效果观察

发布时间：2018-03-20 08:17

本文选题：丙泊酚　切入点：地佐辛　出处：《临床医学研究与实践》2016年19期 　论文类型：期刊论文

【摘要】：目的观察地佐辛复合丙泊酚辅助骶管麻醉用于2~10岁患儿下腹部、下肢手术的临床疗效。方法将130例ASAⅠ~Ⅱ级且择期下腹部、下肢手术患儿随机分为氯胺酮复合丙泊酚麻醉组(KP组)和地佐辛复合丙泊酚辅助骶管阻滞组(TB组),各65例,监测记录两组患儿在术前、手术10 min及术后平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_2)的变化,观察患儿术后清醒时间及恶心呕吐、躁动等不良反应发生率。结果 KP组与TB组患儿SpO_2差异无统计学意义(P0.05)。TB组MAP、HR数值波动显著低于KP组,术后清醒时间短于KP组,术后躁动、呕吐等不良反应发生率低于KP组(P0.05)。结论地佐辛复合丙泊酚辅助小儿骶管麻醉用于小儿下腹部、下肢手术效果满意,MAP、HR稳定,术后苏醒快,不良反应发生率低,能为患儿提供满意的麻醉效果,值得临床应用。
[Abstract]:Objective to observe the clinical effect of dizosin combined with propofol combined with sacral anaesthesia for lower abdomen and lower extremity surgery in children aged 2 to 10 years. Children undergoing lower limb surgery were randomly divided into two groups: ketamine combined with propofol anesthesia group (KP group) and dizosin combined with propofol assistant sacral block group (65 cases each). The changes of mean arterial pressure (map), heart rate (HR) and blood oxygen saturation (SPO _ 2) in 10 min after operation and postoperative mean arterial pressure were observed, and postoperative waking time and nausea and vomiting were observed. Results there was no significant difference in SpO_2 between KP group and TB group. The value fluctuation of SpO_2 HR in KP group was significantly lower than that in KP group, and the postoperative waking time was shorter than that in KP group. The incidence of adverse reactions, such as vomiting, was lower than that in KP group (P 0.05). Conclusion Dizoxin combined with propofol is used in lower abdomen of children with satisfactory results of lower extremity surgery with stable MAPHR, quick recovery after operation and low incidence of adverse reactions. It can provide satisfactory anaesthesia effect for children, and it is worthy of clinical application.
【作者单位】：陕西省榆林市第四(星元)医院麻醉科;
【分类号】：R726.1

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