Application of caudal anesthesia to congenital clubfoot surgery in infants

XU Hongzhen; et al

doi:10.13406/j.cnki.cyxb.2003.06.036

您当前的位置：

首页 >

文章列表页 >

Application of caudal anesthesia to congenital clubfoot surgery in infants

更新时间：2024-01-17

- Application of caudal anesthesia to congenital clubfoot surgery in infants
- Journal of Chongqing Medical University Issue 6, Pages: 799-800(2003)
- 作者机构：
  
  1. 重庆医科大学儿科学院麻醉科
  2. 重庆医科大学儿科学院麻醉科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.06.036
  CLC： R726.1
- Published：2003，
扫描看全文
[1]徐红珍,叶茂,徐颖,李大珍.骶管麻醉在婴幼儿先天性马蹄内翻足手术中的应用[J].重庆医科大学学报,2003(06):799-800+806.

XU Hongzhen, et al. Application of caudal anesthesia to congenital clubfoot surgery in infants. [J]. Journal of Chongqing Medical University (6):799-800(2003)
[1]徐红珍,叶茂,徐颖,李大珍.骶管麻醉在婴幼儿先天性马蹄内翻足手术中的应用[J].重庆医科大学学报,2003(06):799-800+806. DOI： 10.13406/j.cnki.cyxb.2003.06.036.

XU Hongzhen, et al. Application of caudal anesthesia to congenital clubfoot surgery in infants. [J]. Journal of Chongqing Medical University (6):799-800(2003) DOI： 10.13406/j.cnki.cyxb.2003.06.036.

摘要

目的 :探讨垂直进针骶管麻醉在婴幼儿先天性马蹄内翻足手术中的可行性。方法 :婴幼儿先天性马蹄内翻足择期手术 6 0例

在硫喷妥钠（SP）和羟丁酸钠基础麻醉下

随机分为硬膜外麻醉组（n =30 ）和改进了的垂直进针骶管麻醉组（n =30 ）

局麻药用（0 .8～ 1.2 5 ） %盐酸利多卡因 8～ 10mg·kg-1。记录SP诱导入睡后、切开皮肤、打克氏针、缝合皮肤等时点的BP、RR、HR、SpO2 变化及不良反应和辅用镇痛药情况

比较两种麻醉方式的麻醉效果。结果 :观察到硬膜外组有 2例镇痛不全

而骶管组镇痛完善。两组在切开皮肤、打克氏针、缝合皮肤分别与同组SP诱导入睡后比较

其呼吸循环功能均波动不大

无显著性差异（P >0 .0 5 ）。两组均未出现全脊麻及局麻药中毒等严重不良反应。结论 :采用基础麻醉加垂直进针骶管麻醉行婴幼儿先天性马蹄内翻足手术是可行的

而且具有简单、省时、经济、较安全、损伤小等优点

有较高的临床应用价值。

Abstract

Objective:To explore the possibility of perpendicular sticking caudal anesthesia for congenital clubfoot surgery in infants.Methods:Sixty patients undergoing congenital clubfoot operations were randomly divided two groups of caudal anesthesia(n=30) and epidural anesthesia(n=30) under basal anesthesia.8～10 mg·kg -1 lidocaine hydrochloride(0.8～1.25)% was administered on each patient.The changes in BP

SpO 2

the side reactions and the analgesia with anodyne were monitored after pentothal sodium induced asleep

hitting Kirschner wire

sectioning peau and suturing peau

etc.Then the effect and defect of two methods were compared.Results:Two cases of incomplete analgesia were observed in epidural anesthesia.Analgesia was consummate in caudal anesthesia.Comparing with pentothal sodium induced sleep in the same group after sectioning peau

hitting Kirschner wire and suturing peau

the function of respiration and circulation was stable in both groups and there was no significant difference(P>0.05).There were no serious side reactions such as total spinal anesthesia and local anesthetic intoxication.Conclusion:Combined basal anesthesia and perpendicular sticking caudal anesthesia is a feasible method for congenital clubfoot surgery in infants.It has the advantages of simplicity

time saving

safety

less injuries

etc and is worth applying clinically.

关键词

先天性马蹄内翻足手术婴幼儿麻醉骶管硬膜外

Keywords

Congenital clubfoot surgeryinfantanesthesiaCaudalepidural

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Research progress of dexmedetomidine brain protection

Application of dexmedetomidine in anesthesia for bronchial foreign body removal in pediatric patients

Clinical investigation of intraoperative autologous callbacked blood transfusion

Discussion of the anesthesia of pig orthotopic liver transplantation surgery

Anesthesia management in operation on patients with congenital esophageal atresia accompanying tracheo-esophageal fistula

Related Author

Chen Yupei

Tian Zedan

Wan Mengning

Huang Zhenhua

Zhang Cheng

Xu Xiaoyan

HE Kaihua

et al

Related Institution

Department of Anesthesiology,the Second Affiliated Hospital,Chongqing Medical University

Department of Anesthesiology,Chengdu Women & Children’s Central Hospital

重庆医科大学临床学院麻醉科

Department of Anesthesia,College of Clinical Medicine,Chongqing Medical University

Department of Anesthesiology,College of Pediatrics,Chongqing Medical University

⁰