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目的 探讨行骶管内注射咪唑安定用于小儿腹股沟斜疝修补术的镇痛效果。方法 60例行腹股沟斜疝修补术患儿 ,随机分为 4组 ,单次骶管内分别注入 1 %利多卡因 0 8ml/kg、(1 %利多卡因 +0 2 5 %布比卡因 ) 0 8ml/kg、(1 %利多卡因 +0 2 5 %布比卡因 ) 0 8ml/kg +咪唑安定 50 μg/kg、1 %利多卡因 0 8ml/kg +咪唑安定 50 μg/kg ,观察镇痛效果及副作用。 结果 骶管内注用咪唑安定 50 μg/kg与注用 0 2 5 %布比卡因 0 8ml/kg产生相同的镇痛效果 ,无呼吸抑制和其他副作用。结论 在小儿腹股沟斜疝修补术时骶管内注用咪唑安定具有镇痛作用明显、无副作用的优点
Objective To investigate the analgesic effect of intraral sacral instillation of midazolam for pediatric inguinal hernia repair. Methods Sixty children with inguinal hernia repair were randomly divided into 4 groups. One single injection of 1% lidocaine 0 8ml / kg, (1% lidocaine + 0.02% bupivacaine) 0 8ml / kg, (1% lidocaine + 0.02% bupivacaine) 0 8ml / kg + midazolam 50μg / kg, 1% lidocaine 0 8ml / kg + midazolam 50μg / kg, Analgesic effect and side effects observed. Results Intraralal administration of midazolam 50 μg / kg produced the same analgesic effect as infusion of 0,25% bupivacaine 0 8 ml / kg with no respiratory depression and other side effects. Conclusion In patients with inguinal hernia repair, caudal intramuscular injection of midazolam has obvious analgesic effect and no side effects