论文部分内容阅读
目的研究臂丛神经阻滞复合丙泊酚静脉麻醉应用于小儿上肢手术的可行性。方法选择小儿上肢手术麻醉120例,随机分成二组,各60例。A组为臂丛神经阻滞复合氯胺酮静脉麻醉组,B组为臂丛神经阻滞复合丙泊酚静脉麻醉组。观察二组手术的麻醉效果,麻醉前及手术中HR、MAP、RR、SpO2变化,术中不良反应发生情况、以及术毕苏醒时间。结果 B组麻醉效果明显优于A组(P<0.05),手术中A组HR、MAP、RR与B组相比较明显增加(P<0.05),且呼吸抑制发生率也明显高于B组;A组苏醒时间为(28.8±6.3)min,B组苏醒时间为(5.7±2.3)min,明显短于A组(P<0.05)。结论臂丛神经阻滞复合丙泊酚静脉麻醉应用小儿上肢手术,麻醉效果确切,对呼吸和循环影响小、不良反应发生率低、术毕苏醒迅速,是小儿上肢手术理想的麻醉方法。
Objective To study the feasibility of applying brachial plexus block propofol intravenous anesthesia to pediatric upper limb surgery. Methods 120 cases of pediatric upper limb surgery anesthesia were randomly divided into two groups, 60 cases each. Group A was brachial plexus combined with ketamine intravenous anesthesia, and group B was brachial plexus combined with propofol intravenous anesthesia. The effects of anesthesia, changes of HR, MAP, RR and SpO2 before anesthesia and operation, the occurrence of adverse reactions during operation and the recovery time of operation were observed. Results The anesthesia in group B was significantly better than that in group A (P <0.05). HR, MAP and RR in group A were significantly higher than those in group B (P <0.05), and the incidence of respiratory depression was significantly higher than that in group B; The recovery time in group A was (28.8 ± 6.3) min and in group B was (5.7 ± 2.3) min, which was significantly shorter than that in group A (P <0.05). Conclusions Brachial plexus block propofol intravenous anesthesia in children with upper limb surgery, anesthesia exact effect on the breathing and circulation is small, the incidence of adverse reactions is low, rapid recovery after surgery, pediatric upper limb surgery ideal anesthetic method.