喉罩通气静脉-吸入复合麻醉在学龄期患儿腹腔镜下腹股沟疝高位结扎术中的应用效果

Application effect of laryngeal mask ventilation vein-inhalation combinedanesthesia in laparoscopic high ligation of inguinal herniain school-age children

目的探讨喉罩通气静脉-吸入复合麻醉在学龄期患儿腹腔镜下腹股沟疝高位结扎术中的应用效果。方法选取我院2016年6月至2019年10月收治的学龄期腹股沟疝患儿116例,均行腹腔镜下疝囊高位结扎术,依据麻醉方式不同将其分为对照组(57例,插管静脉-吸入复合麻醉)和观察组(59例,喉罩通气静脉-吸入复合麻醉)。比较两组的麻醉效果。结果T1、T2、T3、T4时,观察组的MAP、HR均低于对照组(P<0.05)。术后1 d,两组的SP-A、HMGB1水平均升高,但观察组低于对照组(P<0.05)。观察组术后恶心呕吐发生率低于对照组,差异具有统计学意义(P<0.05)。结论喉罩通气静脉-吸入复合麻醉应用于学龄期腹腔镜下腹股沟疝高位结扎患儿,可稳定MAP、HR,减少肺损伤发生,具有较高安全性。

Objective To investigate the application effect of laryngeal mask ventilation vein-inhalation combined anesthesia in laparoscopic high ligation of inguinal hernia in school-age children.Methods A total of 116 cases of school-age children with inguinal hernia admitted in our hospital from June 2016 to October 2019 were selected and all children were treated with laparoscopic high ligation of hernia sac.According to the different anesthesia methods,the children were divided into control group(57 cases,intubated vein-inhalation combined anesthesia)and observation group(59 cases,laryngeal mask ventilation vein-inhalation combined anesthesia).The anesthetic effects of the two groups were compared.Results At T1,T2,T3 and T4,the MAP and HR of the observation group were lower than those of the control group(P<0.05).At 1 d after operation,the levels of SP-A and HMGB1 in the two groups increased,but those in the observation group were lower than the control group(P<0.05).The incidence of postoperative nausea and vomiting in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Laryngeal mask ventilation vein-inhalation combined anesthesia applied in laparoscopic high ligation of inguinal hernia in school-age children can stabilize MAP and HR,reduce the incidence of lung injury,with high safety.