观察全麻复合骶管麻醉下新生儿苏醒期躁动

目的探讨全麻复合骶管麻醉下新生儿苏醒期躁动。方法选择40例腹部手术新生儿,随机等分为全麻组(Ⅰ组)、全麻复合骶管阻滞组(Ⅱ组)。Ⅰ组静注咪唑安定、芬太尼、维库溴铵诱导气管插管,术中间断静注芬太尼、维库溴铵、丙泊酚泵注维持麻醉。Ⅱ组取左测卧位行骶管穿刺,确认进入骶腔后注入0.20%~0.25%罗哌卡因(2~3mg/kg),均含1∶20万肾上腺素。骶管注药后诱导插管,间断静注芬太尼、维库溴铵、丙泊酚泵注维持麻醉。记录镇静、躁动评分(SAS)、视觉模拟评分(VAS)、停药后自主呼吸恢复时间、拔管时间和睁眼时间。结果两组停药后SAS评分、VAS评分、自主呼吸恢复时间、拔管时间和睁眼时间比较差异有统计学意义(P<0.05)。结论新生儿手术全麻复合骶管麻醉,可以降低苏醒期躁动。

Observed to be the Surgery of Newborn Emergence Agitation After General Anesthesia Combined with Caudal Anesthesia.

Objective Observed to be the surgery of newborn emergence agitation after general anesthesia combined with caudal anesthesia. Methods 40 cases of abdominal surgery, neonatal, were randomly divided into the general anesthesia group （I group）, general anesthesia combined with caudal block group （II group）.Group I ,midazolam, fentanyl, and veeuronium-indueed tracheal intubation, intraoperative intermittent intravenous fentanyl, and vecuronium, propofol infusion to maintain anesthesia. II group were left measured supine row caudal puncture, make sure to enter the sacral cavity after the injection of 0.2% to 0.25% ropivacaine （2-3mg/kg）, inclusive of the 1：200,000 epinephrine. Caudal injection, intubation, intermittent intravenous fentanyl, and vecuroni- um, propofol infusion to maintain anesthesia. Recorded sedation, agitation score（SAS）, visual analogue scale （VAS）, after stopping breathing on his own recovery time, time to extubation and eye opening. Results The two groups after the withdrawal of the SAS score, VAS score, spontaneous breathing recovery time, time to extubation and eye opening difference was statistically significant （P〈0.05）. Conclusion Neonatal surgery, general anesthesia combined with caudal anesthesia, can reduce emergence agitation.