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目的分析硬腰联合麻醉在小儿急诊下肢骨折的临床效果。方法选择2015年3月—2017年2月该院急诊科收治的下肢骨折患儿72例作为研究对象,患儿均实行硬腰联合麻醉,观察患儿麻醉前后临床指标的变化情况、麻醉效果、不良反应发生情况。结果患儿麻醉前后血压指标、HR等临床指标无明显变化,数据差异无统计学意义(P>0.05)。同时患儿麻醉用量少,麻醉起效时间短,不良反应发生率较低。结论将硬腰联合麻醉应用在小儿急诊下肢骨折中,能够极大程度降低对患儿的影响,麻醉效果好,可推广。
Objective To analyze the clinical effect of combined spinal and lumbar anesthesia in pediatric emergency department of lower extremity fractures. Methods From March 2015 to February 2017, 72 children with lower extremity fractures admitted to the emergency department of this hospital were selected as study subjects. All patients were treated with combined sclerosis and anesthesia. The changes of clinical indexes before and after anesthesia were observed, Adverse reactions occurred. Results Before and after anesthesia, there was no significant change in the clinical indicators such as blood pressure index and HR. The difference was not statistically significant (P> 0.05). At the same time children with less anesthesia, narcotic onset time is short, the incidence of adverse reactions lower. Conclusion The combined application of scalp anesthesia in pediatric emergency fractures of the lower extremities can greatly reduce the impact on children with good anesthetic effects and can be promoted.