骶管阻滞复合七氟烷麻醉在小儿手术中的应用体会被引量：2

导出

摘要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。

作者杨勇崔恩慧拾翠翠

机构地区江苏省淮安市妇幼保健院

出处《河北医药》 CAS 2012年第5期698-699,共2页 Hebei Medical Journal

关键词骶管阻滞七氟烷小儿

分类号 R726.14 [医药卫生—儿科]

引文网络
相关文献

参考文献2

1胡蓉,姜虹,朱也森.小儿七氟烷全身麻醉苏醒期烦躁的研究进展[J].上海交通大学学报（医学版）,2009,29(5):598-601. 被引量：22
2韩新生,乔万海,赵亚芹,丁晓英,薛容亮.罗比卡因用于小儿骶管阻滞时的药代动力学特征[J].临床麻醉学杂志,2003,19(11):655-657. 被引量：15

二级参考文献39

1胡同增陈知进.实用小儿麻醉学[M].北京:人民卫生出版社,1995.313-324.
2Shibata S,Shigeomi S,Sato W,et al.Nitrous oxide administration during washout of sevoflurane improves postanesthetic agitation in children[J].J Anesth,2005,19(2):160-163.
3Abu-Shahwan I,Chowdary K.Ketamine is effective in decreasing the incidence of emergence agitation in children undergoing dental repair under sevoflurane general anesthesia[J].Paediatr Anaesth,2007,17(9):846-850.
4Ko YP,Huang CJ,Hung YC,et al.Premedication with low-dose oral midazolam reduces the incidence and severity of emergence agitation in pediatric patients following sevoflurane anesthesia[J].Acta Anaesthesiol Sin,2001,39(4):169-177.
5Breschan C,Platzer M,Jost R,et al.Midazolam does not reduce emergence delirium after sevoflurane anesthesia in children[J].Paediatr Anaesth,2007,17(4):347-352.
6McGraw T,Kendrick A.Oral midazolam premedication and post-operative behaviour in children[J].Paediatr Anaesth,1998,8(2):117-121.
7Hung WT,Chen CC,Liou CM,et al.The effects of low-dose fentanyl on emergence agitation and quality of life in patients with moderate developmental disabilities[J].J Clin Anesth,2005,17(7):494-498.
8Demirbilek S,Togal T,Cicek M,et al.Effects of fentanyl on the incidence of emergence agitation in children receiving desflurane or sevoflurane anaesthesia[J].Eur J Anaesthesiol,2004,21(7):538-542.
9Tazeroualti N,De Groote F,De Hert S,et al.Oral clonidine vs midazolam in the prevention of sevoflurane-induced agitation in children.a prospective,randomized,controlled trial[J].Br J Anaesth,2007,98(5):667-671.
10Malviya S,Voepel-Lewis T,Ramamurthi RJ,et al.Clonidine for the prevention of emergence agitation in young children:efficacy and recovery profile[J].Paediatr Anaesth,2006,16(5):554-559.