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联合麻醉在小儿下肢前内侧手术中的应用
引用本文:潘路平.联合麻醉在小儿下肢前内侧手术中的应用[J].成都医学院学报,2011,6(2):177-179.
作者姓名:潘路平
作者单位:绍兴市中医院麻醉科,浙江,绍兴,312000
摘    要:目的 观察股神经阻滞、骶管阻滞联合氯胺酮-丙泊酚静脉麻醉在小儿下肢前内侧手术中的应用.方法 75例行下肢前内侧手术小儿随机分成3组:股神经阻滞联合静脉麻醉组(A组,n=25),骶管阻滞联合静脉麻醉组(B组,n=25),单纯静脉麻醉组(C组,n=25).结果 术中A、B组循环功能较C组稳定(P<0.05);肢体不良自主运...

关 键 词:股神经阻滞  骶管阻滞  联合麻醉

The application of combined anesthesia in anteromedial lower limb surgery in children
Authors:PAN Lu-ping
Institution:PAN Lu-ping(Anesthesiology department,Traditional Chinese Medicine Hospital of Shaoxing,Shaoxing,Zhejiang 312000,China)
Abstract:Objective To observe the femoral nerve block and caudal block combined with ketamine-propofol intravenous anesthesia in anteromedial lower limb surgery in children.Methods 75 children who underwent anteromedial lower limb surgery were randomly divided into three groups:femoral nerve block combined with intravenous anesthesia group(group A,n=25),caudal block combined with intravenous anesthesia group(group B,n=25),simple intravenous anesthesia group(group C,n=25).Results The circulation during operation in group A and B was more stable than those in group C(P0.05),while body negative self-movement,laryngospasm,vomiting and other adverse reactions were less than that observed in group C(P0.05).The patients in group A and B woke faster compared with group C(with significant difference,P0.05).Conclusion The femoral nerve block,caudal block combined with intravenous anesthesia in anteromedial lower limb surgery in children has exact anesthesia effect and less adverse reactions.
Keywords:femoral nerve block  caudal block  combined anesthesia
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