七氟醚面罩吸入复合氯胺酮麻醉用于小儿疝气手术的效果观察

Effect of sevoflurane mask inhalation of compound ketamine anesthesia in the operation of hernia in children

目的探讨七氟醚面罩吸入复合氯胺酮麻醉用于小儿疝气手术的效果。方法选取2015年10月~2016年10月我院收治的疝气患儿75例,所有患儿随机分为观察组38例与对照组37例。观察两组患儿麻醉后呼吸、心率、氧饱和度(SpO_2)、苏醒时间、呼吸道分泌物、术中躯体活动等,并比较两组麻醉诱导时间、睁眼时间、意识恢复时间及麻醉效果。结果两组患儿的的呼吸、氧饱和度比较,差异无统计学意义(P>0.05);观察组的心率、呼吸道分泌物、术中躯体活动与术后躁动皆少于对照组,差异有统计学意义(P<0.05)。观察组患儿的麻醉诱导时间长于对照组,睁眼时间、意识恢复时间皆明显短于对照组,两组比较差异有统计学意义(P<0.05)。观察组患儿的总不良反应发率明显低于对照组,两组比较差异有统计学意义(P<0.05)。观察组的优良率为94.74%,明显高于对照组的86.49%,两组比较差异有统计学意义(P<0.05)。结论七氟醚面罩吸入复合氯胺酮麻醉用于小儿疝气手术麻醉效果显著,安全性高,不良反应率低,值得临床推广应用。

Objective To investigate the effect of sevoflurane mask inhalation combined with ketamine anesthesia for pediatric hernia surgery in children. Methods 75 cases of hernia treated in our hospital from October 2015 to October 2016 were selected. All the children were randomly divided into 38 cases in the observation group and 37 cases in the control group. The respiratory rate, heart rate, oxygen saturation（SpO2）, recovery time, respiratory secretion, physical activity and so on in two groups after anesthesia were observed. And anesthesia induction time, eye opening time, consciousness recovery time and anesthetic effect in two groups after anesthesia were compared. Results There was no significant difference in respiratory rate and SpO2 between the two groups （P 〉0.05）. The heart rate, respiratory secretion, intraoperative physical activity and postoperative restlessness in the observation group were all less than those in the control group, the difference was statistically significant （P 〈0.05）. The induction time in the observation group was longer than that in the control group. The eye opening time and consciousness recovery time were significantly shorter than those in the control group. The difference between the two groups was statistically significant（P 〈0.05）. The incidence of total adverse reaction of the children in the observation group was significantly lower than that of the control group, and the difference between the two groups was statistically significant（P 〈0.05）. The excellent rate of the observation group was 94.74%, which was significantly higher than that of the control group（86.49%）. There was a significant difference between the two groups in the two groups（P 〈0.05）. Conclusion Sevoflurane mask inhalation combined with ketamine anesthesia for pediatric hernia surgery has significant anesthetic effect, high safety and low adverse reaction rate, so it is worthy of clinical application.