气管插管与非气管插管全麻在小儿腹腔镜疝修补术的应用

Intratracheal and total intravenous anesthesia for groin hernia repair under endoscopes in children

目的探讨气管插管与非气管插管全麻用于小儿腹腔镜下疝修补术的可行性及安全性。方法拟行择期腹腔镜下疝修补术的小儿患者40例,随机分为气管插管全麻组(I组,n=20),非气管插管静脉全麻组(II组,n=20)。组给予异丙酚、氯胺酮和阿曲库铵维持麻醉,气管插管控制呼吸。II组采用异丙酚和氯胺酮全凭静脉麻醉,术中面罩给氧,保持自主呼吸。结果术中两组生命体征平稳,术后躁动、恶心、呕吐发生率差异无统计学意义。II组麻醉诱导快,术后清醒略快于I组,I组麻醉效果较II组满意。结论气管插管与非气管插管全麻用于腹腔镜下小儿疝修补术是安全可行的,I组麻醉效果好于II组。

Objective To explore the possibility and safety of intratracheal and total intravenous anesthesia for groin hernia repair under endoscopy in children. Methods 40 children who were arranged to receive groin hernia repair under endoscopes were randomly divided into intratracheal anesthesia group with propofol, ketamine and arstruzirnm（ group Ⅰ, n = 20）and total intravenous anesthesia group with propofol and ketamine （group Ⅱ,n = 20）. Group Ⅰ were intubated with controlled ventilation, group Ⅱ kept spontaneous by facemask. Results The vital signs of patients and the incidence of agitation, nausea and vomiting in group Ⅰ was the same as that in group Ⅱ（P 〉 0. 05 ）. The time induction and recovery of anesthesia in group Ⅱ was faster than that in group Ⅰ（ P 〈0. 01 ）. The muscle relaxation and anesthetic effect in group Ⅰ excel to that group Ⅱ（ P 〈 0. 05 ）. Conclusion The intratracheal and total intravenous anesthesia for groin hernia repair under endoscopes in children is safe and trusty, the intratracheal anesthesia is more effective than the total intravenous.