七氟醚麻醉用于小儿腹腔镜疝气修补术的有效性研究

Study on the Effectiveness of Sevoflurane Anesthesia for Laparoscopic Hernia Repair in Children

目的观察小儿腹腔镜疝气修补术应用七氟醚麻醉的临床效果。方法选取我院2017年1月至2018年3月收治的103例腹腔镜疝气修补术患儿为研究对象,按照患儿的入院时间以及手术持续时间,划分为观察组(53例)和对照组(50例),观察组患儿接受七氟醚诱导麻醉,对照组患儿接受肌肉注射氯胺酮诱导麻醉,比较两组的麻醉效果。结果观察组患儿的入睡时间、清醒时间均显著少于对照组,差异具有统计学意义(P<0.05)。观察组患儿插管后1 min、手术开始时的心率及血压均显著低于对照组,差异有统计学意义(P<0.05)。两组患儿的指脉血氧饱和度比较,差异无统计学意义(P>0.05)。结论在患儿接受腹腔镜疝气修补术前行七氟醚诱导麻醉,可以促使患儿短时间内入睡,且患儿的血压、心率不会产生大幅度改变,有利于患儿术后早期清醒,值得临床应用推广。

Objective To observe the clinical effect of sevoflurane anesthesia applied in laparoscopic hernia repair in children.Methods 103 cases of children with laparoscopic hernia repair in our hospital from January 2017 to March 2018 were selected as research objects, and were divided into observation group（53 cases） and control group（50 cases） according to admission time and operation duration.The observation group received sevoflurane for induced anesthesia, and the control group received intramuscular injection of ketamine for induced anesthesia. The anesthetic effects of the two groups were compared. Results The sleep latency and awakening time of the observation group were significantly shorter than those of the control group, with statistical differences（P〈0.05）. At 1 min after intubation and at the beginning of the operation, the heart rate and blood pressure of the observation group were significantly lower than those of the control group, with statistical difference（P〈0.05）. No statistical difference was found between the two groups in the finger artery oxygen saturation（P〈0.05）. Conclusions Sevoflurane for induced anesthesia applied before laparoscopic hernia repair can promote children to sleep in a short time, and will not greatly change the blood pressure and heart rate of children, which is beneficial to early postoperative awakening of children, and is worthy of clinical application and promotion.