七氟烷吸入麻醉对腹股沟疝腹腔镜手术患儿血流动力学及苏醒质量的影响

Effect of Sevoflurane inhalation anesthesia on hemodynamics and recovery quality of children undergoing laparoscopic inguinal hernia surgery

目的:探讨腹股沟疝腹腔镜手术采用七氟烷吸入麻醉的效果。方法:行腹股沟疝腹腔镜手术的患儿98例,按单盲法分为两组。对照组49例采用氯胺酮静脉麻醉,试验组49例采用七氟烷吸入麻醉,比较两组苏醒质量、血流动力学、不良反应。结果:试验组苏醒时间、定向力及自主呼吸恢复时间均较对照组短,不良反应发生率较对照组低,两组比较差异有统计学意义(P<0.05);T2点,试验组SpO2、MAP、HR水平均优于对照组,两组比较差异有统计学意义(P<0.05)。结论:腹股沟疝腹腔镜手术采用七氟烷吸入麻醉术后苏醒质量更优,对血流动力学影响小,且不良反应少,安全性高。

Objective: To explore the effect of Sevoflurane inhalation anesthesia in laparoscopic inguinal hernia surgery. Methods: 98 children with inguinal hernia underwent laparoscopic surgery were divided into two groups according to the single blind method. The control group(49 cases)was given Ketamine intravenous anesthesia and the experimental group(49 cases)was given Sevoflurane inhalation anesthesia. The recovery quality, hemodynamics and adverse reactions were compared between the two groups. Results: The recovery time, orientation and spontaneous breathing recovery time of the experimental group were shorter than those of the control group, the incidence of adverse reactions was lower than that of the control group, with the statistical significance(P<0.05). At T2 point, the levels of SpO2, MAP and HR of the experimental group were better than those of the control group, with the statistical significance(P<0.05). Conclusion: Sevoflurane inhalation anesthesia for laparoscopic inguinal hernia surgery has better recovery quality, less hemodynamic impact, fewer adverse reactions and high safety.