超声引导骶管阻滞复合全麻在先天性心脏病幼儿腹部手术中的应用效果

目的观察超声引导骶管阻滞复合全麻在先天性心脏病幼儿腹部手术中的应用效果。方法选择2019年1月至2021年2月于广西壮族自治区人民医院行腹部手术的50例先天性心脏病幼儿作为研究对象,根据随机对照法将其分为观察组和对照组,各25例。观察组行超声引导骶管阻滞复合全麻,对照组行单纯全麻。比较两组的麻醉效果。结果T0时,两组的SBP、DBP、MAP、RR、HR、SpO2无显著差异(P>0.05);T1~T8时,观察组SBP、DBP、MAP、RR、HR、SpO2均高于对照组(P<0.05)。T6~T14时,观察组的FLACC、PAED评分均低于对照组,OAA/S评分高于对照组(P<0.05)。观察组的丙泊酚、舒芬太尼、瑞芬太尼用量均少于对照组(P<0.05)。两组均未发生恶心呕吐、尿潴留、皮肤瘙痒、运动阻滞、镇静过度等不良反应。结论先天性心脏病幼儿腹部手术中行超声引导骶管阻滞复合全麻效果优于单纯全麻,可减少围术期应激反应,维持生命体征平稳,降低不良反应发生率。

Application effect of ultrasound-guided sacral block combined with general anesthesia in abdominal surgery of children with congenital heart disease

Objective To observe the application effect of ultrasound-guided sacral block combined with general anesthesia in abdominal surgery of children with congenital heart disease.Methods A total of 50 children with congenital heart disease who underwent abdominal surgery in the people's hospital of Guangxi Zhuang autonomous region from January 2019 to February 2021 were selected as the research objects.According to the random control method,the patients were divided into observation group and control group,with 25 cases in each group.The observation group received ultrasound-guided sacral block combined with general anesthesia,and the control group received simple general anesthesia.The anesthetic effects of the two groups were compared.Results At T0,there were no significant difference in SBP,DBP,MAP,RR,HR and SpO2 between the two groups(P>0.05);at T1-T8,SBP,DBP,MAP,RR,HR and SpO2 in the observation group were higher than those in the control group(P<0.05).At T6-T14,the FLACC and PAED scores in the observation group were lower than those in the control group,and the OAA/S score was higher than that in the control group(P<0.05).The dosages of propofol,sufentanil and remifentanil in the observation group were less than those in the control group(P<0.05).No adverse reactions such as nausea and vomiting,urinary retention,pruritus,block of movement,excessive sedation were observed in the two groups.Conclusion The ultrasound-guided sacral block combined with general anesthesia in abdominal surgery of children with congenital heart disease has better application effet compared with simple general anesthesia,which can reduce perioperative stress response,maintain stable vital signs,and reduce the incidence of adverse reactions.