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目的 探讨婴幼儿腹部大、中等手术的理想麻醉方法。方法 我院近年来婴幼儿腹部大、中等手术 82例 ,按不同的麻醉方法 ,分为三组 :A组 39例 ,连续硬膜外阻滞 +气管内全麻 ;B组 2 8例 ,连续硬膜外阻滞 +基础及辅助用药 ;C组 15例 ,气管内全麻。分析、比较各组患者的心率 (HR)、氧饱和度 (SpO2 )的变化、麻醉药用量以及患儿苏醒时间。结果 与B、C组相比 ,A组麻醉效果满意 ,HR平稳 ,术后苏醒快 ,并且SpO2 始终达 98%以上。结论 连续硬膜外阻滞复合气管内全麻是婴幼儿腹部大、中等手术的安全、有效麻醉方法。
Objective To investigate the ideal method of anesthesia for infants with large and medium abdominal surgery. Methods In our hospital in recent years, infants and young children abdominal large and medium operation of 82 cases, according to different anesthesia methods, divided into three groups: A group of 39 cases, continuous epidural block plus endotracheal intubation; B group 28 cases, continuous Epidural block + basal and adjuvant medication; C group 15 cases, tracheal general anesthesia. Analysis and comparison of heart rate (HR), oxygen saturation (SpO2) changes, the amount of anesthetics and the recovery time of children in each group. Results Compared with groups B and C, the anesthesia in group A was satisfactory, the HR was stable, the postoperative recovery was rapid, and the SpO2 was always above 98%. Conclusion Continuous epidural anesthesia combined with tracheal intubation is a safe and effective method of anesthesia for large and medium abdominal surgery in infants.