罗哌卡因小儿骶管阻滞复合异丙酚静注在小儿下腹部手术中应用.docVIP

罗哌卡因小儿骶管阻滞复合异丙酚静注在小儿下腹部手术中应用 　【关键词】 罗哌卡因；骶管阻滞；异丙酚小儿麻醉 　　摘要:目的:探讨罗哌卡因小儿骶管阻滞复合异丙酚静注在小儿下腹部手术中应用的效果。方法:选择择期斜疝修补术或睾丸固定术的患儿50例，随机分成两组。观察组（A组）和对照组（B组）。A组用0.25%罗哌卡因0.7m1/kg骶管阻滞复合异丙酚2～4mg/kg#12539;h静脉麻醉。B组以0.1%氯胺酮复合异丙酚2～4mg/kg#12539;h静脉麻醉。记录两组患儿在麻醉前、术中探查时、术毕5min的MAP、HR、的变化，术后并发症恶心呕吐、呼吸抑制、苏醒后烦躁哭闹的发生率和术毕苏醒时间。结果: B组在术中探查时的MAP、HR明显高于A组（Plt;0.05），术中探查时、术毕5min的低于A组（Plt;0.05），差异有显著性，且恶心呕吐、呼吸抑制、苏醒后烦躁哭闹的发生率明显高于A组（P＜0.01）,术毕苏醒时间明显比A组延长（P＜0.05），差异有显著性。结论:罗哌卡因骶管阻滞复合异丙酚麻醉用于小儿下腹部手术是一种镇痛完善、血流动力学稳定、苏醒快、术后并发症少的安全有效的麻醉方法。 　　关键词:罗哌卡因；骶管阻滞；异丙酚小儿麻醉 　　An Application of Ropivacaine Complex Propofol Mainline for Sacral Canal Blocking in Hypogastric Operation of Child 　　blocking in hypogastric operation of child. Method:To choose 50 patients with repair of oblique hernia of a choice auspicious day or orchiorrhaphy, and to divide into two groups stochastic, the observation group(A group) and contrast group(B group). A group was 0.25% Ropivacaine 0.7ml/kg sacral canal blocking complex propofol intravenous anesthesia 2～4mg/kg#12539;h . B group was 0.1% ketamine complex propofol 2～4mg/kg#12539;h intravenous anesthesia. The two groups patients were noted the change of MAP,HR,SpO2 before anesthesia, operating and operation finish 5 min, and the syndrome happen rate and emergence time of nausea vomit, breath control and fidget weep after emergence. Result : MAP and HR in B group were higher remarkable than those in A group (Plt;0.05), SpO2 was lower than that in the A group in exploration and after operation(Plt;0.05), it was significance, but the happen rate of naupathia and vomit, breath restraint, fidget weep after emergence were higher than those in the A group (Plt;0.01),the time of emergence was longer than the A group(Plt;0.05),it was significance. Conclusion : Ropivacaine complex propofol anesthesia for sacral canal blocking in hypogastric operation of child is abirritation perfect, hemodynamics steady, emergence rapidness and the syndrome is less past operation, it is an anesthesia method of effec