七氟醚联合骶管阻滞麻醉对小儿疝气手术的麻醉有效性分析

Anesthetic Effect of Sevoflurane Combined with Sacral Block Anesthesia in Treatment of Pediatric Hernia Surgery

目的分析七氟醚联合骶管阻滞麻醉对小儿疝气手术的麻醉有效性。方法方便选取该院2016年10月-2018年7月期间行腹股沟疝气手术治疗的患儿87例进行研究,按照患儿接受手术治疗的先后顺序进行分组,将患儿分为对照组(前44例)和实验组(后43例),分别给予氯胺酮联合骶管阻滞麻醉和七氟醚联合骶管阻滞麻醉,比较两组患儿麻醉效果。结果两组患儿T1、T2时间点心率、平均动脉压水平均高于T0时(P<0.05),两组患儿在T3时心率、平均动脉压水平恢复到T0时水平,实验组患儿麻醉诱导时间、苏醒时间、PAED评分、ICC评分分别为(48.62±10.15)s、(7.92±2.52)min、(15.15±4.68)分、(1.70±0.53)分,均少于对照组患儿,差异有统计学意义(t=17.470 8、12.1949、2.6346、8.8366P=0.0000、0.0000、0.0100、0.0000),对照组、实验组小儿疝气手术患儿不良反应发生率分别为15.91%、2.33%,差异有统计学意义(χ^2=4.805 6 P=0.028)。结论七氟醚联合骶管阻滞麻醉对小儿疝气手术的麻醉效果显著,患儿麻醉诱导快、苏醒快,不良反应少,配合度高,躁动少,是一种良好的麻醉方式。

Objective To analyze the anesthetic efficacy of sevoflurane combined with sacral block anesthesia for pediatric hernia surgery. Methods A total of 87 children with inguinal hernia who underwent surgical treatment in our hospital from October 2016 to July 2018 were convenient selected. They were divided into control group(the first 44 cases) and experimental group(the last 43 cases). Ketamine combined with sacral block anesthesia and sevoflurane combined with sacral block anesthesia were given respectively. The anesthesia effects of the two groups was compared. Results Heart rate and mean arterial pressure at T1 and T2 time points in two groups were higher than those at T0,the difference was statistically significant(P<0.05). Heart rate and mean arterial pressure in two groups recovered to T0 level at T3. The anesthesia induction time, awakening time, PAED score and ICC score in experimental group were(48.62±10.15)s,(7.92±2.52)min,(15.15±4.68)points and(1.70±0.53) points, respectively, which were less than that in the control group(t=17.470 8, 12.194 9, 2.634 6,8.836 6 P=0.000 0, 0.000 0, 0.010 0, 0.000 0). The incidence of adverse reactions in the control group and the experimental group were 15.91% and 2.33%, respectively, with significant difference,the difference was(χ^2=4.805 6 P=0.028). Conclusion Sevoflurane combined with sacral block anesthesia is a good anesthesia method for pediatric hernia surgery. The time of anesthesia induce and recovery is short, and it has fewer adverse reactions, high corporation, and less agitation.