七氟烷吸入麻醉与异丙酚静脉麻醉对疝气手术患儿的麻醉效果比较

Effect comparison between sevoflurane inhalation anesthesia and propofol intravenous anesthesia in anesthesia of children with hernia

目的:比较七氟烷吸入麻醉与异丙酚静脉麻醉对疝气手术患儿的麻醉效果。方法:选择某院行疝气手术治疗的100例患儿,随机分为2组,每组各50例。对照组行异丙酚静脉麻醉,观察组行七氟烷吸入麻醉,比较2组患儿血流动力学指标、应激反应指标、麻醉及苏醒情况。结果:麻醉诱导时,观察组心率(HR)、舒张压(DBP)、收缩压(SBP)、肾素(R)、肾上腺素(E)、去甲肾上腺素(NE)水平低于对照组,差异有统计学意义(P<0.05);观察组起效时间、苏醒时间、清醒时间、定向力恢复时间均短于对照组,2组比较差异有统计学意义(P<0.05)。结论:与异丙酚静脉麻醉比较,七氟烷吸入麻醉对疝气手术患儿的血流动力学指标影响小,有助于缓解应激反应,安全性较高,且起效、清醒时间短。

Objective:To compare the anesthetic effect of sevoflurane inhalation anesthesia and propofol intravenous anesthesia on children undergoing hernia surgery.Methods:100 children undergoing hernia surgery were randomly divided into two groups,50 cases in each group.Propofol intravenous anesthesia was performed in the control group and sevoflurane inhalation anesthesia was used in the observation group.The levels of hemodynamics,stress response,anesthesia and recovery were compared between the two groups.Results:During anesthesia induction,levels of HR,DBP,SBP,R,E,and NE in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The effective time,recovery time,awakening time and directional recovery time in the observation group were significantly shorter than those in the control group(P<0.05).Conclusion:Compared with propofol intravenous anesthesia,sevoflurane inhalation anesthesia has little effect on hemodynamic indexes,less stress response,higher safety,and shorter awakening time in children undergoing hernia surgery.