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目的探讨基础麻醉+蛛网膜下腔阻滞在小儿腹部手术中的应用效果。方法选择60例5～7岁ASAⅠ～Ⅲ级行腹部手术的小儿患者,在基础麻醉下行蛛网膜下腔阻滞(按椎管长度给药,布比卡因0.15mg/cm),用药后观察镇痛效果、肌松效果,持续监测NIBP(MAP)、ECG、HR、SpO2,记录患儿术中恶心呕吐及术后随访麻醉后恶心呕吐、头痛、背痛、尿潴留等不良反应的发生情况。结果麻醉效果满意,并发症少,安全性高。结论基础麻醉+蛛网膜下腔阻滞用于小儿腹部手术,起效快,麻醉效果确切,用药量小,副作用少,是一种安全有效的麻醉方法。
Objective To investigate the effect of basic anesthesia + subarachnoid block in pediatric abdominal surgery. Methods Sixty children with ASA Ⅰ ~ Ⅲ grade abdominal surgery aged 5 to 7 years were selected and underwent subarachnoid block (according to spinal canal length, 0.15mg / cm bupivacaine) under basic anesthesia. After treatment, Analgesic effect and muscle relaxant effect. NIBP (MAP), ECG, HR and SpO2 were monitored continuously to record the incidence of nausea and vomiting during operation and postoperative follow-up of nausea and vomiting, headache, back pain and urinary retention . Results satisfactory anesthesia, fewer complications, high safety. Conclusions Basic anesthesia + subarachnoid block is a safe and effective anesthetic method for infantile abdominal surgery with fast onset of action, definite anesthetic effect, small dosage and few side effects.