超声辅助改良骶管阻滞麻醉用于婴儿腹股沟疝手术的临床分析刘立飞.doc

超声辅助改良骶管阻滞麻醉用于婴儿腹股沟疝手术的临床分析题目请修改完善：临床分析？或者安全性和有效性评价 题目请修改完善：临床分析？或者安全性和有效性评价 刘立飞,谭延哲,王寿勇 (40014 重庆,重庆医科大学附属儿童医院麻醉科,儿童发育疾病研究教育部重点实验室) [摘要]目的 评价超声辅助改良骶管阻滞麻醉用于婴儿腹股沟疝手术的安全性和有效性。方法 择期行腹股沟疝手术的患儿60例，年龄4～12个月，ASA Ⅰ或Ⅱ级，采用随机数字表法将患儿分为两组：传统方法组和改良方法组）不建议用字母或者数字替代组名，全文请修改，每组30例。骶管阻滞采用0.15%罗哌卡因，推注速度0.5 mL/s，总量1 mL/kg，超声监测局麻药在硬膜外腔的扩散。记录患儿性别、年龄、体重，麻醉诱导后（t1）、手术开始时（t2）、手术开始后10 min（t3）和手术结束时（t4）的心率、血压、呼吸、脉搏氧饱和度等生命体征。记录穿刺成功所需时间、穿刺次数、误入血管或蛛网膜下腔情况以及局麻药在硬膜外腔达到的最高节段。结果 所有患儿生命体征平稳，骶管阻滞效果完善。传统方法组和改良方法组，局麻药达到腰1的比例分别为86.7% 和 83.3%。在传统方法组中，第一次穿刺成功率为83.3%，穿刺成功所需时间为(2.6±0.5 )s，有3例误入血管和1例误入蛛网膜下腔。在改良方法组中，第一次穿刺失败率为96.7%，穿刺成功所需时间为(1.6±0.5 )s，无误入血管或蛛网膜下腔的病例。结论 采用超声辅助改良骶管阻滞法，穿刺成功率高，并发症少，阻滞效果完善。 不建议用字母或者数字替代组名，全文请修改 [关键词]麻醉，骶管；婴儿；超声 [中图法分类号] [文献标志码]A Clinical analysis of improved caudal block anesthesia with assistance of U ltrasonography for inguinal hernia surgery in infants Liu Lifei， Tan Yanzhe， Wang Shouyong （Department of Anesthesiology, Childrens Hospital of Chongqing Medical University; Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing ,400014, China） [Abstract]Objective The aim of this study was to evaluate?the?safety?and?effectiveness?of a improved method for caudal block in infants. Methods Sixty infants, aged from 4 to 12 months, scheduled to undergo herniorrhaphy were prospectively enrolled in this study, ASAⅠorⅡ,divided into two groups: conventional method group and improvement?method group. In both group, 1 mL/kg 0.15% ropivacaine at a rate of approximately 0.5 mL/s was given for caudal blocks during ultrasonographic observation of local anesthetic in the epidural space. Data were obtained include the patients’ gender, age, weight, ASA physical status. Vital signs such as electrocardiography, non-invasive blood pressure, respiratory rate and pulse oximetry were recorded at the time of after anesthesia induction(t1), at the beginning of the operation(t2), at 10 min after the beginning of the operation(t3), at the end o