喉罩吸入全麻用于小儿腹腔镜疝修补术的临床应用疗效分析

目的研究将喉罩吸入全麻作为小儿腹腔镜疝修补手术麻醉方式的效果和安全性.方法将 2014 年 5 月-2015 年 11 月于我院进行小儿腹腔镜疝修补术患儿75例,根据麻醉方式分为对照组（气管插管全麻）32例和观察组（喉罩吸入全麻）43例,对比两组的手术效果和手术过程中生命体征变化.结果观察组并发症发生率和术后镇痛药物使用率分别为6.98%、23.26%,均显著低于对照组（X2=5.49,6.12;P〈0.05）;且观察组术中MBP、HR与术后苏醒时间依次为（68.57±6.94）mmHg、（114.95±17.42）次/min、（14.65±3.21）min,均显著短于对照组（t=12.85,10.57,13.56;P〈0.05）.结论小儿腹腔镜疝修补术中采用喉罩吸入全麻方式,不会对患儿的呼吸功能产生不利影响,且并发症风险较低,具备于临床外科推广应用的意义和价值.

ObjectiveTo study the laryngeal mask inhalation anesthesia for pediatric laparoscopic hernia repair surgery anesthesia effect and safety.Methods in May 2014 - November 2015 in our hospital in 75 cases of children with infantile laparoscopic hernia repair, according to the way of anesthesia were divided into control group （32 endotracheal intubation anesthesia） and observation group （laryngeal mask inhalation anesthesia） 43 cases, compared two groups of vital signs change during the process of operation effect and operation.Results to observe the incidence of complications and postoperative analgesia drug utilization rate were 6.98%, 23.26%, respectively, were significantly lower than the control group （X squared = 5.49, 5.49; P 〈 0.05）;Intraoperative MBP and observation group, HR and postoperative waking time was （68.57 ＋ 6.94） mmHg, （114.95-17.42） times/min, （14.65-3.21） min, were significantly shorter than the control group （t = 12.85, 10.57, 12.85; P 〈 0.05）.Conclusionchildren with laryngeal mask inhalation anesthesia in laparoscopic hernia repair, not harmful to the patient＇s respiratory function, and a lower risk of complications, have the meaning and value of application in clinical surgery.