不同麻醉方法用于尿道下裂成形术患儿的效果

发布时间：2018-05-08 08:49

本文选题：尿道下裂 + 麻醉　；参考：《中南大学学报(医学版)》2015年09期

【摘要】：目的:评价不同麻醉方法用于尿道下裂患儿的效果。方法:择期拟行尿道下裂成形术患儿90例,ASA分级为I或II级,年龄为2.0~6.0(4.0±1.3)岁,体质量11.50~21.00 kg,采用随机数字表法,将患儿随机分为全身麻醉复合硬膜外阻滞组(I组)、全身麻醉组(II组)和全麻喉罩复合硬膜外阻滞组(III组),每组30例。所有患儿入室后静脉麻醉诱导,麻醉维持均采用七氟醚吸入,使脑电双频指数值维持45~60。I组行硬膜外穿刺麻醉;II组麻醉诱导后置入喉罩;III组置入喉罩并行硬膜外穿刺阻滞。观察3组的麻醉效果、血流动力学变化、不良反应和术后并发症。结果:与I组及II组相比,III组患儿血压、心率更平稳,术后躁动和不良事件发生率均较两组低(均P0.05)。结论:全麻喉罩复合硬膜外阻滞用于尿道下裂的患儿麻醉效果优。
[Abstract]:Objective: to evaluate the effect of different anesthetic methods on hypospadias. Methods: 90 children with hypospadias undergoing hypospadioplasty were enrolled in this study. The age was 2.0 卤6.0 卤1.3 years old and the body mass was 11.50 ~ 21.00 kg. The children were randomly divided into general anesthesia combined with epidural block group (n = 30), general anesthesia group (n = 30), general anesthesia group (n = 30) and laryngeal mask combined epidural block group (n = 30). All the children were induced by posterior intravenous anesthesia and maintained by sevoflurane inhalation. The bispectral index of EEG was maintained at 450.60. Group II was anesthetized by epidural puncture anesthesia group II and laryngeal mask was inserted into larynx mask III group with epidural puncture block. The anesthetic effect, hemodynamic changes, adverse reactions and postoperative complications were observed. Results: compared with group I and group II, the blood pressure and heart rate in group III were more stable, and the incidence of restlessness and adverse events were lower than those in group I and group II (all P 0.05). Conclusion: general anesthesia and laryngeal mask combined with epidural block are effective for hypospadias.
【作者单位】：中南大学湘雅医院麻醉科;
【分类号】：R726.1

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