喉罩麻醉与气管插管麻醉在小儿腹腔镜疝气手术中的疗效比较

Comparison of effect of laryngeal mask anesthesia and tracheal intubation anesthesia in pediatric laparoscopic hernia operation

目的比较喉罩麻醉与气管插管麻醉在小儿腹腔镜疝气手术中应用的临床疗效。方法选取115例疝气患儿分为A组58例和B组57例。所有患儿均经腹腔镜进行疝气修补手术,A组采用喉罩麻醉,B组采用气管插管麻醉。比较两组插入喉罩或气管导管前(T0)、插入喉罩或气管导管后1 min(T1)、拔管后1 min(T2)时的血压(BP)、心率(HR)、血氧饱和度(Sp O2)。结果 A组T1、T2时的BP、HR、Sp O2与T0比较,无明显差别(P>0.05);B组T1时的BP较T0有明显升高(P<0.05);B组T1时的HR较T0有明显增加(P<0.05);B组T2时的BP较T0有明显升高(P<0.05);B组T2时的HR较T0有明显增加(P<0.05);A、B两组T0时的BP、HR差别不明显(P>0.05);A、B两组T1、T2的BP、HR具有差异性(P<0.05);A、B两组T0、T1、T2时的Sp O2差别不明显(P>0.05)。结论对腹腔镜疝气手术的患儿而言,使用喉罩麻醉更有利于维持生命体征的平稳,安全性较高。

Objective To compare the effect of laryngeal mask anesthesia with endotracheal intubation anesthesia in pediatric laparoscopic hernia operation. Methods 115 cases of children patients with hernia were divided into group A（58 cases）and group B（57 cases）. All of the Children patients were under pediatric laparoscopic hernia operation. Anesthesia method of group A was laryngeal mask anesthesia, and group B was tracheal intubation anesthesia. Comparison of blood pressure（BP）, heart rate（HR）, oxygen saturation（SpO2）of two groups in time of insertion laryngeal mask or before the endotracheal tube（T0）, insertion laryngeal mask or endotracheal tube after 1min（T1）, after extubation 1 min（T2）. Results BP, HR and Sp O2 of group A in time of T1,T2 had no significant difference to those in T0（P〉0.05）; BP, HR of group B in T1 or T2 significantly increased comparison of those in T0（P〈0.05）; A,B two groups of T1, T2 BP, HR of group A in time of T1, T2 were different from those in group B, and the differences were significantly different（P〈0.05）; SpO2 of group A or B in T0, T1, T2 was no significant change（P〉0.05）. Conclusion Laryngeal mask anesthesia is more conducive to maintain stable vital signs in pediatric laparoscopic hernia operation, and it is high security.