骶管阻滞辅以丙泊酚在婴幼儿泌尿外科手术中的疗效观察

摘要

Objective To observe the efficacy and complications of sacral block plus propofol for urinary surgery in children. Methods 80 ASAIpatients aged 3 months to 3 years undergoing urinary surgery were randomly assigned to receive sacral block plus propofol for continuous sedation (study group,n = 40) or intravenous injections of ketamine plus propofol for general anesthesia (control group,n = 40). Peranaesthesia,skin incision,intraoperative and postoperative systolic pressure (SBP),diastolic pressure (DBP),heart rate (HR),respiration (R),blood oxygen saturation (SPO2),time to consciousness recovery,surgical duration,and postoperative adverse reactions within 8 hours were noted. Results SBP,DBP,and R after induction and during surgery were significantly lower in the study group than in the control group (P＜0.05);and time to consciousness recovery was shorter in the study group(P＜0.0l).Conclusions Sacral block plus propofol is safe and effective in urinary surgery for children and has fewer complications.%目的 观察骶管阻滞复合丙泊酚在婴幼儿泌尿外科手术中的麻醉效果及并发症.方法 选择麻醉评分(ASA)Ⅰ级、3个月至3岁、行泌尿外科手术的婴幼儿80例,随机分成两组:骶管麻醉组(观察组,n=40)和氯胺酮组(对照组,n=40),观察组采用骶管复合丙泊酚持续泵注维持镇静,对照组采用氯胺酮-丙泊酚混合泵注全静脉全麻.观察记录麻醉前、切皮时、术中及术毕时的收缩压(SB P)、舒张压(DBP)、心率(HR)、呼吸(R)、血氧饱和度(SP02)的变化,苏醒时间、手术时间及术后8小时的不良反应,并作相互统计学处理.结果 诱导后和术中的SBP、DBP、R差异均有显著性(P＜0.05),观察组明显低于对照组,苏醒时间短于对照组(P＜0.01).结论 骶管阻滞辅以丙泊酚麻醉用在婴幼儿泌外手术中的安全、有效、麻醉效果满意,且并发症少.