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目的观察静吸复合麻醉联合骶管阻滞用于低体重新生儿手术的效果及安全性。方法 30例低体重新生儿手术按入院单双号随机分成两组(观察组和对照组各15例),观察组给予静吸复合麻醉联合骶管阻滞,对照组单纯给予静吸复合麻醉,观察两组生命体征、七氟醚用量及并发症发生情况。结果对照组手术开始即刻(T1)、手术开始5min(T2)、手术开始10min(T3)时的HR、SBP及DBP较观察组明显升高(P<0.05);观察组T1、T2、T3时的HR、SBP及DBP较T0时变化不明显(P>0.05)。观察组较对照组七氟醚用量明显减少(P<0.01)。结论静吸复合联合骶管阻滞麻醉用于低体重新生儿手术安全、有效。
Objective To observe the effect and safety of intravenous inhalation combined with caudal block for low birth weight neonates. Methods Thirty patients with low birth weight were randomly divided into two groups (observation group and control group, 15 cases each). The observation group was given intravenous anesthesia combined with caudal block, the control group was given pure inhalation anesthesia, Two groups of vital signs, sevoflurane dosage and complications were observed. Results Compared with the observation group, HR, SBP and DBP at the beginning of operation (T1), 5 min (T2) and 10 min (T3) of the control group were significantly increased (P <0.05) The changes of HR, SBP and DBP were not obvious when compared with T0 (P> 0.05). The amount of sevoflurane in observation group was significantly lower than that in control group (P <0.01). Conclusions Static suction combined with caudal block anesthesia is safe and effective for low birth weight neonates.