七氟醚吸入联合骶管阻滞在小儿斜疝手术中的应用

The Sevoflurane Joint Caudal Block in Pediatric Indirect Inguinal Hernia Surgery Anesthesia

目的观察七氟醚吸入联合骶管阻滞在小儿斜疝手术中的麻醉效果。方法 60例年龄2～8岁择期行斜疝修补术的患儿,随机均分为A、B两组,A组用七氟醚吸入联合骶管阻滞麻醉,B组用氯胺酮麻醉。观察两组诱导和苏醒时间,诱导时是否合作,有无喉痉挛、呕吐、术中知晓、术中体动和苏醒期躁动。结果与B组相比,A组诱导时依从性较好,诱导和苏醒时间较短,术中体动和苏醒期躁动发生率较低(P<0.05),呕吐和术中知晓发生率无统计学意义。结论七氟醚吸入联合骶管阻滞具有麻醉诱导、苏醒快,不良反应少的优点,能较好的应用于小儿斜疝手术。

Objective To observe the sevoflurane joint caudal block in pediatric indirect inguinal hernia surgery anesthesia.Methods 60 patients aged 2～8 years undergoing elective surgery in children with indirect inguinal hernia repair were randomly divided into A,B groups,A group with sevoflurane and caudal block anesthesia,B group with ketamine anesthesia.Induction and recovery time were observed,induction of co-operation,with or without laryngeal spasm,vomiting,intraoperative awareness,patients in body movement and agitation.Results Compared with the B group,A group of good compliance during induction,induction and recovery time shorter,intraoperative body movement and a lower incidence of agitation（P0.05）,vomiting and the incidence of intraoperative awareness without statistical significance.Conclusion Sevoflurane inhalation combined with caudal block anesthesia induction,recovery speed,the advantages of fewer adverse reactions,can be better used in children with indirect inguinal hernia surgery.