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目的观察全麻复合硬膜外阻滞用于小儿开腹手术的临床效果。方法38例开腹手术患儿随机分为单纯全麻I组和硬膜外阻滞复合全麻Ⅱ组,每组19例,观察两组病人循环功能的改变及术毕清醒所需要的时间,术中追加药间隔时间。结果两组病人一般情况、手术时间无明显差异(P>0.05);血压、心率于诱导插管、开腹、关腹、拔管时间有明显差异(P<0.05);苏醒时间组间相比有明显差异性(P<0.O1);术中麻醉维持用药两组间有明显差异(P<0.O1)。结论全麻复合硬膜外阻滞用于小儿开腹手术应激反应小、全麻用药量小,病儿恢复快。
Objective To observe the clinical effect of general anesthesia combined with epidural block for pediatric open surgery. Methods Thirty-eight children undergoing open surgery were randomly divided into simple general anesthesia group I and epidural general anesthesia combined group Ⅱ, 19 patients in each group. The changes of circulatory function and the time required for complete recovery were observed in two groups. Intraoperative additional drug interval. Results There was no significant difference between the two groups in the general condition and operation time (P> 0.05). The blood pressure and heart rate were significantly different between intubation, laparotomy, abdominal closure and extubation (P <0.05) There was significant difference (P <0.O1); intraoperative anesthesia maintenance medication was significantly different between the two groups (P <0.O1). Conclusions General anesthesia combined with epidural block for children with open surgery less stress response, small amount of general anesthesia, sick children recover quickly.