·综述·小儿蛛网膜下腔阻滞的临床研究进展曾维石翊飒龚红月郑奇辉杜生芳DOI:10．12089/jca．2023．02．015基金项目:兰州大学第二医院萃英科技创新计划(CY2020-BJ04);兰州大学第二医院萃英科技创新计划(CY2018-BJ08)作者单位:730030兰州大学第二医院麻醉科［曾维(现在仁寿县人民医院麻醉科)、石翊飒、郑奇辉、杜生芳］;仁寿县人民医院麻醉科(龚红月)通信作者:石翊飒，Email:Shiys@lzu．edu．cn【摘要】小儿蛛网膜下腔阻滞(腰麻)在20世纪初首次引入临床，因能降低与全麻相关的发病率和死亡率，而被广泛应用于小儿腹部以下手术。近年来，凭借较小的循环呼吸功能干扰和围术期麻醉监测技术的发展，小儿腰麻再次受到关注，相关研究日益增多。本文着重围绕小儿腰麻的优势、局麻药物用法、辅助用药、超声在小儿腰麻中的应用、现存问题等五个方面进行综述，通过总结国内外应用现状，探讨其在小儿部分手术中的优势，以期为小儿腰麻的临床实践提供参考。【关键词】儿童;蛛网膜下腔阻滞;药物;超声ClinicalresearchprogressofspinalanesthesiainchildrenZENGWei，SHIYisa，GONGHongyue，ZHENGQihui，DUShengfang．DepartmentofAnesthesiology，theSecondClinicalHospitalofLanzhouUniversity，Lanzhou730030，ChinaCorrespondingauthor:SHIYisa，Email:Shiys@lzu．edu．cn【Abstract】Spinalanaesthesiainchildrenwasfirstintroducedintheearly20thcenturyasamethodofdecreasingthemorbidityandmortalityassociatedwithgeneralanaesthesia，whichhasbeenwidelyapplyedforpediatricsurgerybelowthelevelofabdomen．Inrecentyears，spinalanesthesiainpediatricdrawsattentionagainforitslessinterferenceincirculationandrespirationaswellasadvancesinmonitoringtechnologyduringperioperative，anditsrelatedresearchhasbeenincreasing．Thisarticlewillfocusonfiveaspectsincludingtheadvantagesofspinalanesthesiainchildren，theselectionoflocalanestheticsandspe-cificgravity，auxiliarymedication，theapplicationofvisualizationtechnology，andtheexistingsafetyissues．Bysummarizingthecurrentstatusofitsapplicationhomeandabroad，itwilldiscusstheadvantagesofspinalanesthesiainsomepediatricoperations，hopingtoprovideareferencebasisforclinicalpracticeofspinalan-esthesiainchildren．【Keywords】Child;Spinalanesthesia;Drugs;Ultrasou...
