局部麻醉在静脉全麻婴幼儿斜疝手术中的作用观察

Observation of Local Anesthesia in the Role of Oblique Hernia Surgery of Infants and Young Children

目的比较静脉全麻与局部麻醉复合静脉全麻在婴幼儿斜疝手术中的效果。方法 40例婴幼儿斜疝手术患者,随机分为两组,实验组(A组)局部麻醉复合静脉全麻;对照组(B组)选择静脉全麻;分别观察基础麻醉后、手术开始时、术毕清醒时BP、HR、R变化,氯胺酮用量,术毕至清醒时间,术后疼痛情况等。结果 A组较B组明显循环稳定,氯胺酮用量显著减少,术后疼痛轻微(P<0.05)。结论局部麻醉在婴幼儿斜疝手术中具有与静脉麻醉同等重要的作用,局部麻醉复合静脉全麻效果更确切、更安全。

Objective To compare the effect of intravenous anesthesia and local anesthesia combined with intravenous anesthesia in oblique hernia surgery of infants and young children.Methods 40 cases of accepting infantile inguinal hernia surgery were randomly divided into two groups,the experimental group（A group） was given local anesthesia combined with intravenous anesthesia;the control group（B group） was given intravenous anesthesia;the changes of BP,HR and respiration in the time of based anesthesia done,the beginning of the operation and the end of the operation,the recovery time and the level of postoperative pain were observed.Results Circulation of A group was significantly more steady than that of B group,the dosage of ketamine was less and the postoperative pain was mild（P 0.05）.Conclusion Local anesthesia has equally important role in indirect inguinal hernia surgery of infants,just as intravenous anesthesia.The effect of local anesthesia combined with intravenous anesthesia is more precise and more secure.