摘要
目的:探讨一种适合婴幼儿下腹、会阴、下肢手术更为安全有效的麻醉方法。方法:随机选择100例行下腹、会阴、下肢手术的婴幼儿分为观察组(A组)和对照组(B组),每组各50例,A组在氯胺酮复合异丙酚基础麻醉下行骶骨管阻滞,术中持续微量泵泵注异丙酚维持基础麻醉;B组选择氯胺酮复合异丙酚行全凭静脉麻醉。结果:A组异丙酚用量小于B组(P<0.01),麻醉效果A组优于B组。结论:基础麻醉下骶骨管阻滞是一种适合婴幼儿下腹、会阴、下肢手术更为安全有效的麻醉方法。
Objective： To explore a suitable anesthesia approach for infants that underwent lower abdomen,perineum,lower limb surgery.Methods： A total of 100 randomly selected infants that underwent lower abdomen,perineum,lower limb surgery were divided into observation group（group A） and control group（group B） by half.Caudal block based on use of ketamine and propofol was applied to group A,during the operation,continuous micro-pump infusion of propofol was used to maintain anesthesia effects.For group B,combing use of ketamine and propofol for total intravenous anesthesia was used.Results： The dosage of propofol used in the operation of group A was significant less than that of group B（P〈0.01）.And group A showed better anesthesia effects than group B.Conclusion： Caudal block based on use of ketamine and propofol was suitable for infants that underwent lower abdomen,perineum,lower limb surgery with better safety and effects.
出处
《海南医学院学报》
CAS
2010年第5期633-635,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020100177)~~
关键词
骶管阻滞
婴幼儿
基础麻醉
全凭静脉麻醉
Caudal block
Infants
Basic anesthesia
Intrarenous anesthesia
