论文部分内容阅读
目的:探讨更安全、更平稳的新生儿急腹症手术的麻醉方法。方法:40例患者分为3组:K组(单纯氯胺酮静脉麻醉);I组(单纯气管内全麻);E+I组(连续硬膜外麻醉复合气管内全麻)。比较3组患儿的心率(HR)、平均动脉压(MAP)、脉搏氧饱和度(SpO_2)及呼气末二氧化碳浓度(P_(Er)CO_2),记录手术时间及术后拔气管导管时间。k组患儿术中HR、MAP有显著增加(P<0.01,P<0.05),SPO_2有下降趋势(但P>0.05),I组患儿术中仅HR显著增加(P<0.05),而E+I组麻醉前后所有参数无显著变化。K组手术时间显著短于其它两组,E+I组拔管时间短于I组(P<0.05)。结论:新生儿急腹症的麻醉选择,气管内全麻较为安全可靠,如果手术时间较长,应辅以连续硬膜外阻滞。
Objective: To explore a safer and more stable method of anesthesia for neonatal acute abdomen surgery. Methods: Forty patients were divided into three groups: group K (simple ketamine intravenous anesthesia); group I (pure tracheal general anesthesia); group E + I (continuous epidural anesthesia combined with tracheal general anesthesia). The heart rate (HR), mean arterial pressure (MAP), pulse oxygen saturation (SpO_2) and end-tidal carbon dioxide (CO_2) were compared between the three groups. The operation time and tracheal tube time were recorded. The HR, MAP of group K were significantly increased (P <0.01, P <0.05), while the level of SPO 2 was decreased (P> 0.05). Only HR of group I was significantly increased (P <0.05) There was no significant change in all parameters before and after anesthesia in E + I group. The operation time of group K was significantly shorter than that of the other two groups. The extubation time of group E + I was shorter than group I (P <0.05). Conclusion: The choice of anesthesia in neonatal acute abdomen, tracheal general anesthesia is more safe and reliable, if the operation time is longer, should be supplemented by continuous epidural block.