静吸复合全麻对Ⅰ型胆总管囊肿手术患儿血流动力学及不良反应影响

Effects of intravenous inhalation combined with general anesthesia on hemodynamics and adverse reactions inchildren undergoing choledochal cyst type Ⅰ surgery

目的:探讨静吸复合全麻对Ⅰ型胆总管囊肿手术患儿血流动力学及不良反应的影响。方法:收治Ⅰ型胆总管囊肿手术患儿56例,随机平分为两组。对照组采取连续硬膜外麻醉,研究组采取静吸复合全身麻醉。观察两组气腹前(T0)、气腹后30 min(T1)、气腹后60 min(T2)、术毕(T3)的心率(HR)、平均动脉压(MAP)变化,并详细记录两组不良反应。结果:观察组T1、T2、T3时刻HR水平均低于对照组,MAP水平均高于对照组,组间比较差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,组间差异有统计学意义(P<0.05)。结论:采取静吸复合全麻的方式,可维持Ⅰ型胆总管囊肿手术患儿血流动力学稳定,同时可减少相关不良反应发生。

Objective:To explore the effect of intravenous inhalation combined with general anesthesia on hemodynamics and adverse reactions of children with choledochal cyst type Ⅰ operation.Methods:56 children with type Ⅰ choledochal cyst surgery were selected,the patients were divided into the two groups equally,the control group was treated with continuous epidural anesthesia,and the study group were treated with static inhalation and general anesthesia.The changes of heart rate(HR)and mean arterial pressure(MAP)of the two groups before pneumoperitoneum(T0),postpneumoperitoneum 30 min(T1), postpneumoperitoneum 60 min(T2),and postoperatively(T3)were observed,the adverse reactions of the two groups were recorded in detail.Results:The HR level of T1,T2 and T3 in the observation group was lower than those in the control group,MAP level was higher than the control group,there were statistical differences between the two groups(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,there was statistical difference between the two groups(P<0.05).Conclusion:The way of static inhalation combined with general anesthesia can maintain hemodynamic stability in children with Ⅰ type choledochal cyst,and reduce related adverse reactions.