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目的对比观察连续硬膜外阻滞复合基础麻醉应用于小儿腹股沟区手术的临床效果。方法收集2013年11月—2015年11月郸城县人民医院行腹股沟区手术的患儿120例,根据手术麻醉方式的不同随机分为A、B、C三组,每组各40例,A组采用连续硬膜外阻滞复合基础麻醉方案,B组采用静吸复合麻醉方案,C组采用基础麻醉复合静脉麻醉方案,观察3组患儿术毕时动脉氧饱和度、收缩压、舒张压、心率、术毕后苏醒时间、术后排气时间、术后躁动发生率、麻醉药物不良反应发生率、术者对麻醉满意率等指标并行统计学对比。结果 A组患者术毕时动脉氧饱和度(97.4±1.9)%,收缩压(101.4±12.3)mm Hg,舒张压(71.3±12.4)mm Hg,心率(105.8±9.6)次/min,术毕至苏醒时间(2.5±0.9)min,术后排气时间(6.4±1.9)min,出现恶心、呕吐、复视等麻醉药物不良反应2例,发生率5.0%,无术后躁动情况,术者对麻醉满意率100%,各项指标均优于B、C两组,差异均存在统计学意义(P<0.05)。结论小儿腹股沟区手术采用连续硬膜外阻滞复合基础麻醉方案效果确切,术后麻醉恢复时间短,麻醉药物不良反应发生率低,是一种安全、有效的小儿麻醉方案。
Objective To compare the clinical effects of continuous epidural block combined with basic anesthesia in pediatric groin surgery. Methods A total of 120 children undergoing inguinal region operation in Dancheng County People’s Hospital from November 2013 to November 2015 were randomly divided into three groups A, B and C according to the different surgical anesthesia methods, 40 cases in each group, A Group adopted continuous epidural anesthesia combined basic anesthesia program, B group with static inhalation combined anesthesia program, C group with basic anesthesia combined intravenous anesthesia program to observe the 3 groups of children with arterial oxygen saturation, systolic blood pressure, diastolic blood pressure , Heart rate, wake time after surgery, postoperative exhaust time, the incidence of postoperative agitation, the incidence of adverse reactions of anesthetic drugs, the satisfaction rate of anesthesia and other indicators were statistically parallel. Results The arterial oxygen saturation (97.4 ± 1.9%), systolic blood pressure (101.4 ± 12.3) mm Hg, diastolic blood pressure (71.3 ± 12.4) mm Hg and heart rate (105.8 ± 9.6) times / (2.5 ± 0.9) min, postoperative exhaust time (6.4 ± 1.9) min, nausea, vomiting, diplopia and other anesthetic adverse reactions in 2 cases, the incidence rate of 5.0%, no postoperative agitation, the surgeon Satisfaction rate of 100% for anesthesia, the indicators are better than B, C two groups, the differences were statistically significant (P <0.05). Conclusions The method of continuous epidural block combined with basic anesthesia in children groin area operation is effective, the recovery time of anesthesia is short and the incidence of adverse reactions of anesthetic drugs is low. It is a safe and effective pediatric anesthesia program.