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目的探讨基础麻醉复合骶管阻滞在婴幼儿腹部以下手术的优越性。方法选择年龄2 d~3岁的ASAⅠ~Ⅱ级行腹部以下手术患儿102例,随机等分为基础麻醉复合骶管阻滞组(Ⅰ组)和单纯静脉全麻组(Ⅱ组),比较2组术中生命体征变化、牵拉反应、肌松及术中静脉镇痛、镇静效果、麻醉维持时间、术后苏醒时间、苏醒期呕吐概率。结果Ⅰ组患儿生命体征平稳、肌松良好、镇痛完善、术后苏醒时间短,苏醒后安静;Ⅱ组患儿生命体征波动大,术中牵拉反应明显,肌肉不松弛,术后苏醒时间长,苏醒后述疼痛,哭闹。结论基础麻醉复合骶管阻滞适合婴幼儿腹部以下手术,其方法简单可行,效果确切,是一种安全可靠、值得推广的方法。
Objective To investigate the superiority of basic anesthesia combined with caudal block in infants under abdominal surgery. Methods A total of 102 children aged 2 to 3 years old with ASA Ⅰ ~ Ⅱ underwent surgery below the abdomen were randomly divided into basic anesthesia combined sacral block group (Ⅰ group) and simple intravenous anesthesia group (Ⅱ group). Two groups of intraoperative changes in vital signs, stretching reaction, muscle relaxation and intraoperative intravenous analgesia, sedation, anesthesia maintenance time, postoperative recovery time, recovery vomiting probability. Results The children in group Ⅰ had stable vital signs, good muscle relaxants, perfect analgesia, short recovery time after waking up, and quiet after waking up. The vital signs of patients in group Ⅱ were greatly fluctuated, their pulling reaction was obvious during operation, A long time, wake up after the pain, crying. Conclusion The basic anesthesia compound sacral block is suitable for infants under the abdomen surgery, the method is simple and feasible, the effect is exact, is a safe and reliable, worthy of promotion method.