| 摘要: |
| ［摘要］ 目的 探讨全身麻醉与全身麻醉+骶管阻滞麻醉用于小儿先天性巨结肠根治手术后对麻醉复苏过程的影响。方法 选年龄3个月至1岁拟择期行经肛门先天性巨结肠根治术的小儿患者40例，随机分为全麻组(Ⅰ组，n=20)，全麻+骶管阻滞组(Ⅱ组，n=20)。Ⅰ组给予氯胺酮、芬太尼、异丙酚和维库溴铵维持麻醉；Ⅱ组给予氯胺酮、芬太尼、异丙酚和维库溴铵维持麻醉，辅予0.5%利多卡因溶液行单次骶管阻滞。结果 两组麻醉效果均满意，生命体征平稳，术后躁动、恶心、呕吐发生率差异无统计学意义；围术期平均体温Ⅰ组比Ⅱ组高，全麻用药量Ⅰ组比Ⅱ组多，术后清醒、拔管时间Ⅰ组明显短于Ⅱ组。结论 单纯全麻比全麻复合骶管阻滞麻醉用于小儿经肛门先天性巨结肠根治手术有利于小儿术中保暖，更有利于术后复苏。 |
| 关键词: 全身麻醉 骶管阻滞麻醉 小儿 经肛门先天性巨结肠根治术 |
| DOI：10.3969/j.issn.1674-3806.2010.05.16 |
| 分类号:R 614.2 |
| 基金项目: |
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| Effect of different anesthetic methods on postoperatire recovery of children undergoing the raclical surgery on congenital Hirschsprung′s disease via the anus |
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LIU Xiao-hui
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Department of Anesthesia, People′s Hospital of Lingshan, Guangxi 535400,China
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| Abstract: |
| ［Abstract］ Objective To observe the effect of the the general anesthesia and general anesthesia plus caudal block anesthesia on postoperatire recovery processes of children undergoing the radical surgery on congenital Hirschsprung′s disease.Methods Forty children with congenital Hirschsprung′s disease,aged from 3 to 12 months, were treated for selective radical operation on congenital Hirschsprung′s disease via the anus. They were randomly divided into two groups: group of general anesthesia (group Ⅰ, n=20) and group of anesthesia plus caudal block anesthesia (group Ⅱ, n=20).Group Ⅰ was given ketamine, fentanyl,propofol and vecuronium to maintenance of anesthesia. Group Ⅱ was given ketamine, fentanyl，propofol and vecuronium to maintenance of anesthesia, with a supplement of 0.5%lidocaine to have a single line of caudal block.Results The two groups had satisfied anesthetic effect and stable vital signs. There were no significant differences in incidences of postoperative agitation, nausea and vomiting between two groups. The average body temperature of group Ⅰ was higher than that of group Ⅱ during the perioperative period. The postoperative awakeness time, and the extubation time in group Ⅰ were obviously shorter than those in group Ⅱ.Conclusion Comparing with the general anesthesia combining with caudal block anesthesia for children undergoing radical surgery on congenital Hirschsprung′s disease via the anus, the simple general anesthesia is more conducive to keep warm,and more conducive to postoperative recovery. |
| Key words: General anesthesia Caudal block anesthesia Children Radical surgery on congenital Hirschsprung′s disease via the anus |
