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目的探讨骶管阻滞复合七氟烷麻醉在小儿手术中的临床应用效果。方法选择择期行斜疝、隐睾、鞘膜积液、包茎手术的患儿42例,在七氟烷麻醉下行骶管阻滞。观察清醒到睫毛反射消失的时间、骶管穿刺过程中的体动反应、术后清醒的时间和其间平均动脉压(MAP)、心率(HR)、脉搏氧饱和度(SpO2)的变化,以及不良反应的发生率。结果全组病例麻醉诱导前后、术中、术毕、苏醒期,MAP、HR、SpO2均无明显变化(P>0.05)。不良反应发生率低。结论骶管阻滞复合七氟烷麻醉在小儿手术中应用是安全、有效的。
Objective To investigate the clinical effect of caudal block combined sevoflurane anesthesia in pediatric surgery. Methods Forty-two children with hernia, cryptorchidism, hydrocele and phimosis undergoing selective elective operation underwent caudal block under sevoflurane anesthesia. The time from awake to the disappearance of eyelash reflex, the body motion response during caudal puncture, the postoperative awake time and the change of mean arterial pressure (MAP), heart rate (HR) and pulse oxygen saturation (SpO2) The incidence of reaction. Results Before and after anesthesia induction, there were no significant changes in MAP, HR, SpO2 at the end of operation, recovery, resuscitation (P> 0.05). The incidence of adverse reactions is low. Conclusion caudal block combined with sevoflurane anesthesia in pediatric surgery is safe and effective.