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目的探讨丙泊酚麻醉在小儿急性肠套叠二次空气灌肠复位术中应用价值。方法将首次空气灌肠复位失败患儿60例,随机分为丙泊酚组、对照组。丙泊酚组静脉注射丙泊酚2 mg/kg,入睡后即行二次空气灌肠,操作中患儿出现肢体挣动则追加丙泊酚1 mg/kg。对照组直接行二次空气灌肠。观察其复位率、操作时间、术中心率及血氧饱和度变化,并进行分析。结果丙泊酚组疗效、受X线照射时间均明显优于对照组(P<0.05)。结论丙泊酚麻醉可提高小儿肠套叠二次空气灌肠的复位率。
Objective To investigate the value of propofol anesthesia in the treatment of acute intussusception secondary air enema in children. Methods Sixty children with failed air enema reduction were randomly divided into propofol group and control group. Propofol group intravenous injection of propofol 2 mg / kg, sleep after the secondary air enema, the operation of children with limb movement is added propofol 1 mg / kg. Control group directly secondary air enema. Observed the rate of reduction, operation time, heart rate and oxygen saturation changes, and analyzed. Results The efficacy of propofol group was significantly better than that of control group (P <0.05). Conclusion Propofol anesthesia can improve the rate of reposition of secondary air enema in children with intussusception.