异氟烷吸入复合罗哌卡因骶管阻滞在小儿斜疝手术中的应用

The efficacy of isoflurane supplemented with ropivacaine for sacral block in indirect inguinal hernia

目的探讨异氟烷吸入复合罗哌卡因骶管阻滞在小儿腹股沟斜疝手术中的应用效果。方法120例腹股沟斜疝患儿在腹腔镜下行鞘状突高位结扎术，随机将患儿分为A、B、C三组，A组为单纯异氟烷吸入麻醉组，B组为单纯罗哌卡因骶管阻滞麻醉组，c组为异氟烷吸入复合罗哌卡因骶管阻滞麻醉组，观察并记录患儿术中血流动力学变化（MAP、HR、spO2），比较三组患儿术中麻醉效果、术后苏醒时间、麻醉药用量及麻醉不良反应发生情况。结果异氟烷吸入复合罗哌卡因骶管阻滞麻醉组患儿术中血流动力学稳定，手术麻醉效果满意，均优于A组和B组患儿（均P〈0．05）；术后苏醒时间、麻醉药用量及麻醉不良反应事件与A组和B组差异均有统计学意义（均P〈0．05）。结论异氟烷吸入复合罗哌卡因骶管阻滞麻醉应用于小儿腹股沟斜疝高位结扎术，有利于呼吸、循环的管理及术后苏醒，是小儿下腹部手术较为理想的麻醉方法。

Objective To observe the efficacy of isoflurane supplemented with ropivaeaine for sacral block in indirect inguinal hernia. Methods 120 eases of children who were going to he operated in inguinal hernia repairs were randomly divided into isoflurane group（ A）, ropivaeaine group （B）, and isoflurane supplemented with ropivaeaine group （C）. Sacral block was performed after induction with different anesthetics. Haemedynamics （ MAP,HR ,SpO2 ） in three groups were compared, and anesthesia effect, waking time, drug dosage and adverse reactions were analyzed. Results Haemodynamics in isoflurane supplemented with ropivacaine group were more stable than the other two groups ,and anesthesia effect was better than isoflurane group and ropivacaine group（ all P 〈 0. 05 ）. Moreover,waking time, drug dosage and adverse reactions in group C were statistical differently conpared with controls（ all P 〈 0. 05 ）. Conclusion lsoflurane supplemented with ropivacaine for sacral block was helpful for respiration and circulation management applied in indirect inguinal hernia and could be a perfect anesthetic methods.