七氟醚复合骶管阻滞麻醉在小儿腹腔镜疝气手术麻醉中的临床应用

Clinical application of sevoflurane combined with sacral canal blocking anesthesia in laparoscopic hernia repair in children

目的探讨七氟醚复合骶管阻滞麻醉在小儿腹腔镜疝气手术中的可行性和安全性。方法选择在腹腔镜下行单侧腹股沟斜疝修补术患儿60例,ASAⅠ～Ⅱ级,按随机方式分为A组(七氟醚复合骶管阻滞麻醉组)和B组(全麻插管组),每组30例,观察气腹效果、术后清醒时间,连续监测心率(HR)、平均动脉压(MAP)、呼气末二氧化碳分压(PetCO2)、血氧饱和度(SpO2)。结果两组患儿手术时间(min)差异无统计学意义(P>0.05);两组患儿苏醒时间(min)A组短于B组,组间比较差异有统计学意义(P<0.05)。两组患儿气腹后HR、MAP、PetCO2比气腹前明显升高(P<0.05),A组和B组间比较差异无统计学意义(P>0.05)。结论七氟醚复合骶管阻滞麻醉用于小儿腹腔镜疝气手术是可行和安全有效的。

Objective To explore the feasibility and safety of sevoflurane combined with sacral canal blocking anesthesia in laparoscopic hernia repair in children. Methods Sixty cases of children due to undergo bilateral laparoscopic hernia repair, ASA I -II, were randomly divided into group A （using sevofiurane combined with sacral canal blocking anesthesia） and group A（ using general anesthesia intubation） ,30 cases in each group. Aeroperitoneum effect,time of postoperative awakening,heart rate（HR） ,mean arterial pressure （MAP） , partial pressure of end-tidal carbon dioxide （ PetCO2 ） , and pulse oxygen saturation （ SpO2 ） of the two groups were observed and compared. Results There was no statistical significance in operation time between the two groups, but the awakening time was significantly shorter in group A than in group B. Significant increment was observed in HR, MAP, and PetCO2 in both groups, but no significant difference was detected between the two groups. Conclusion Sevoflurane combined with sacral canal blocking anesthesia is feasible and safe in laparoscopic hernia repair in children.