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目的 :探讨相同临床麻醉深度的不同麻醉方法对行腹腔镜先天性巨结肠根治术的婴幼儿的影响。方法 :年龄 3个月～ 3岁 ,ASAⅠ～Ⅱ级的 6 0例择期行巨结肠根治术的患儿 ,分为全麻组 (Ⅰ ) 2 0例和硬膜外复合全麻组 (Ⅱ ) 4 0例 ,以相似临床麻醉深度 (PRST评分 2～ 4分 )为标准 ,计算两组术中芬太尼、维库溴铵和异丙酚的用量 ,术后苏醒时间和并发症的发生率。结果 :Ⅱ组芬太尼、维库溴铵的用量和苏醒时间明显小于Ⅰ组 ,术后恶心呕吐发生率无明显差别 ,而术中高血压和低血压的发生率要高于Ⅰ组。结论 :硬膜外复合全麻用于腹腔镜下婴幼儿巨结肠根治术可以减少麻醉性镇痛药、肌松药用量 ,从而明显缩短患儿苏醒时间 ,有利于患儿的康复
Objective: To investigate the effect of different methods of anesthesia with the same clinical depth of anesthesia on infants and young children undergoing laparoscopic radical hirschsprung surgery. Methods: Totally 60 ASA Ⅰ ~ Ⅱ patients undergoing radical gastrectomy were enrolled in this study. The patients were divided into general anesthesia group (20 cases) and epidural combined general anesthesia group (Ⅱ) 40 patients with similar clinical depth of anesthesia (PRST score of 2 to 4) as the standard, the two groups were calculated intraoperative fentanyl, vecuronium and propofol dosage, postoperative recovery time and the incidence of complications . Results: The dosage and wake-up time of fentanyl and vecuronium in group Ⅱ were significantly less than those in group Ⅰ. The incidence of nausea and vomiting was not significantly different in group Ⅱ, but the incidence of hypertension and hypotension in group Ⅱ was higher than that in group Ⅰ. Conclusions: Epidural general anesthesia for laparoscopic infants undergoing Hirschsprung’s radical mastectomy can reduce the dosage of narcotic analgesics and muscle relaxants, thus significantly shortening the recovery time of children, which is beneficial to the recovery of children