七氟烷吸入复合骶管麻醉用于小儿下腹部手术的观察与护理.pdf

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1、20生!月第33卷第7期ClinicalMedicine，July2013．V01．33．N0．7·l19··临床护理·七氟烷吸入复合骶管麻醉用于小儿下腹部手术的观察与护理赵玉娥(江苏省丰县人民医院麻醉科，丰县221700)【摘要】目的探讨七氟烷复合骶管麻醉用于小儿下腹部手术的麻醉效果与护理措施。方法将60例下腹部手术患儿随机分成两组，七氟烷单纯吸入者为A组，七氟烷+骶管麻醉者为B组，记录两组各时点To(麻醉用药前)、T．(切皮时)、T2(手术结束)、T。(停药后30min)的呼吸心率、平均动脉压的变化，以及

2、患儿术中所需七氟烷的维持浓度、苏醒时间及恶心、呕吐、躁动等不良反应的发生率。结果两组患儿呼吸(RR)、心率(HR)、平均动脉压(MAP)在T0、T、T比较差异无统计学意义，T3A组明显高于B组，差异有统计学意义(P<0．05)。术中七氟烷的维持浓度A组明显高于B组，差异有统计学意义(P<0．05)。术后清醒时间A组明显长于B组(P<0．05)，A组不良反应躁动的发生率明显高于B组，差异有统计学意义(P<0．05)。恶心呕吐两组比较差异无统计学意义。结论七氟烷吸入复合骶管麻醉用于小儿手术麻醉平稳，苏醒快，不良反

3、应少，减轻了护理压力，是一种较好的麻醉方法。【关键词】七氟烷；骶管麻醉；吸入麻醉；小儿手术ObservationandnursingofinhalationanesthesiaofsevofluranecombinedwithsacralcanalanesthesiainpediatriclowerabdominalsurgeryZHAOYu—e．DepartmentofAnesthesiology，thePeople’sHospitalofFengxian，Fengxian221700，China【Abst

4、ract】ObjectiveToinvestigatetheefectandnursingmeasuresofsevofluranecombinedwithsacralcanalanesthesiainpediatriclowerabdominalsurgery．MethodsSixtychildrenunderwentlowerabdominalsurgerywerechoosed，andwereran—domlydividedintotwogroups，sevofluranesimpleinhalatio

5、nwasappliedinGroupA，sevofluranecombinedwithsacralcanalan—esthesiawasappliedingroupB．Therespriationrate(RR)，heartrate(HR)andmeanbloodpressure(MAP)wererecordedatTo(beforeanesthesia)，Tl(atskinincision)，T2(attheendofoperation)andT3(30minafterstoppingdrug)．Resul

6、tsTherewerenosignificantdiferencesbetweenthetwogroupsinRR，HRandMAPatT0，Tl，T2，butthoseindexesingroupAwerehigherthangroupBatT3(P<0．05)．ThedosageofsevofluraneinGroupAwasobviouslyhigherthanthatingroupB(P<0．05)．ThepostoperativeawakingtimeofgroupAwasobviouslylong

7、erthanthatofgroupB(P<0．05)．Theincidenceofad—versereactionrestlessingroupAwasobviouslyhigherthanthatingroupB(P<0．05)．Therewasnosignificantdifferenceintheincidenceofnauseaandvomitingbetweenthetwogroups．ConclusionSevofluraneinhalationcombinedwithsacralcanalane

8、sthesiahastheadvantageofquickawakingsmoothanesthesiaandlessadversereactioninpediatricsugery．Itcanreducethenursingpressure，SOitisagoodanaestheticmethod．【Keywords】Sevoflurane；Sacralcanalblock；Inhalationa