摘要
目的:观察全麻复合硬膜外阻滞用于小儿开胸手术的临床效果。方法:38例开胸手术患儿随机分为单纯全麻Ⅰ组和硬膜外复合全麻Ⅱ组,每组19例。观察两组病人循环功能的改变及术毕清醒所需要的时间,术中追加药间隔时间。结果:两组病人一般情况、手术时间无明显差异(P>0.05)。血压、心率于诱导插管、开胸、关胸、拔管时组间有明显差异(P<0.05)。苏醒时间组间相比有明显差异性(P<0.01),术中麻醉维持用药两组间有明显差异(P<0.01)。结论:全麻复合硬膜外阻滞用于小儿开胸手术应激反应小,全麻用药量小,病儿恢复快。
Objective： To observe the clinical effect of the combination used in little children＇s open - chest operation. Methods： We divided 38 children patients into two groups, who underwent the operation. One group of 19 cases only treated with general anesthesia is named as group Ⅰ, and the other treated with the combination is named as group Ⅱ. In the two groups, we observed the alteration of circulation function, the time of revival after operation, and the interval of adding drugs in surgery. Results： Generally, there＇s no obvious difference in operating time between the two groups （ P 〉0.05 ）. There are distinct differences in Map and HR at the time of intubatton, opening chest, closing chest, and extubatton （ P 〈 0.05 ）. There is outstanding discrepancy in the time of revival between the two groups （ P 〈0.01 ）. There is obvious difference in the amount of drugs maintained in surgery. （ P 〈 0.01 ）. Conclusions： Employing the combination in surgery, we have less stress reaction, less usage of drugs in general anesthesia, and shorter time for children to recover.
出处
《中国民康医学》
2005年第10期567-568,共2页
Medical Journal of Chinese People’s Health
关键词
全麻
硬膜外阻滞
小儿
general anesthesia
extradual
retardaree
children
