摘要
目的:观察髂腹股沟/髂腹下神经阻滞(INB)在婴幼儿单侧腹股区手术中的麻醉效果。方法:将60例ASAⅠ～Ⅱ级患儿随机分为INB组和骶管阻滞组,基础麻醉后分别行INB和骶管阻滞,比较两组的麻醉效果。结果:两组患儿在切皮前、切皮时、术毕HR、SpO2、RR变化比较差异无统计学意义(P>0.05),切皮时疼痛刺激评分,苏醒时间比较,差异无统计学意义(P>0.05),且INB组局麻药用量少于骶管阻滞组,差异有统计学意义(P<0.05)。结论:INB应用于婴幼儿单侧腹股沟区手术麻醉效果与骶管阻滞相比差异无统计学意义,且方法简单、易于实施、用药剂量较小,有利于患儿术中管理和减少麻醉并发症。
Objective To observe the anesthtic effect of INB （ilioinguinal/iliohypogastric nerve block） in infant patients＇ unilateral in- guinal incision surgeries. Method Sixty ASA I -II infant patients were randomly divided into INB （ Schulte - Steinbery） group （ n = 30） and caudal block group （n = 30）. After basal anesthesia,ilioinguinal/iliohypogastric nerve block and caudal block were admonished in two groups separately. The anesthetic effect of the two groups were observed. Results The HR, SpO~ and RR in the two groups had no significant differences （ P 〉 0. 05） at the time of preopration, cutting skin and the end of surgery. The pain stimulating scores at the point of cutting skin and recover time from anesthesia in the two groups had no significant differences （ P 〉 0.05 ）. Furthermore, the dosage of local anes- thetic in INB group were less than that in caudal block group, and had significant differences （P 〈 0.05）. Conclusion The method of INB （Schuhe -Steinbery） uses in unilateral groin surgery of infant patients is easy to operate, and needs less local anesthesia. In addition, INB has less anesthetic complications.
出处
《吉林医学》
CAS
2012年第4期704-705,共2页
Jilin Medical Journal
