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目的:探讨七氟醚复合骶管阻滞麻醉在小儿肠套叠手术中的应用。方法:将60例急性肠套叠患儿随机分为A组七氟醚复合骶管阻滞麻醉和B组基础复合骶管阻滞麻醉各30例,观察麻醉前后血压、脉搏、呼吸、脉搏血氧饱和度(SpO2)的变化程度及术中牵拉反应、术后呕吐。结果:在T0时刻,A组和B组患儿的MAP、HR差异无统计学意义(P>0.05),在T1和T2时刻,A组患儿的MAP和HR未有明显变动,而B组患儿的MAP和HR显著升高,与A组相比差异有统计学意义。2组患儿的肢体活动发生率、苏醒时间差异有统计学意(P<0.05),A组患儿的术后躁动发生率显著低于对照组。结论:七氟醚复合骶管阻滞麻醉的麻醉效果较好,安全性较高,对小儿肠套叠手术麻醉的应用价值较大。
Objective: To investigate the application of sevoflurane combined caudal block anesthesia in pediatric intussusception. Methods: Sixty children with acute intussusception were randomly divided into three groups: A group sevoflurane combined caudal block anesthesia and B group basic compound caudal block anesthesia in 30 cases. Before and after anesthesia, blood pressure, pulse, respiration, pulse blood Changes in oxygen saturation (SpO2) and intraoperative stretch reaction, postoperative vomiting. Results: There was no significant difference in MAP and HR between group A and group B at T0 (P> 0.05). At the time of T1 and T2, MAP and HR of group A did not change significantly, while group B MAP and HR in children was significantly higher than that in group A, the difference was statistically significant. The incidence of limb activity and recovery time in two groups were statistically significant (P <0.05). The incidence of postoperative agitation in group A was significantly lower than that in control group. Conclusion: Sevoflurane combined caudal block anesthesia anesthesia is better, more safe, more useful for pediatric intussusception anesthesia.