两种全麻方案用于腹腔镜小儿腹股沟斜疝手术的麻醉效果对比

Comparison of the Anesthesia Effect of Two General Anesthesia Schemes in Laparoscopic Operation of Pediatric Indirect Inguinal Hernia

目的:比较喉罩通气与气管插管两种全身麻醉方式用于腹腔镜小儿腹股沟斜疝手术的临床麻醉效果,为临床麻醉医师选择合理麻醉方案提供参考。方法:选择2017年1月~2019年8月在本院接受腹腔镜腹股沟斜疝手术治疗的86例患儿为研究对象,依据随机数字表法,将研究对象分为对照组和试验组(每组43例),对照组给予气管插管全身麻醉,试验组给予喉罩通气麻醉,比较两组的临床麻醉效果和并发症发生率。结果:试验组的拔管时间、复苏时间均短于对照组,试验组的丙泊酚用量少于对照组,差异有统计学意义(P<0.05);试验组的并发症发生率为2.33%,低于对照组(13.96%),差异有统计学意义(P<0.05)。结论:在腹腔镜小儿腹股沟斜疝手术治疗中,喉罩通气麻醉方式较气管插管全麻对患儿血流动力学指标影响较小,患儿恢复较快,并发症发生率较低,值得推荐。

Objective:To compare the clinical anesthesia effect of laryngeal mask ventilation and tracheal intubation in laparoscopic surgery of indirect inguinal hernia in children,so as to provide reference for clinical anesthesiologists to choose a reasonable anesthesia scheme.Methods:86 children who received laparoscopic inguinal hernia surgery in our hospital 94 from January 2017 to August 2019 were selected as the research objects.According to the random number table method,the research objects were divided into two groups:the control group and the test group(43 cases in each group).The control group was given general anesthesia by tracheal intubation,and the experimental group was given ventilation anesthesia by laryngeal mask.Results:The extubation time and resuscitation time of the experimental group were shorter than those of the control group,the dosage of propofol in the experimental group was less than that of the control group,the difference was statistically significant(P<0.05);the incidence of complications in the experimental group was 2.33%,lower than that in the control group(13.96%),the difference was statistically significant(P<0.05).Conclusion:In laparoscopic surgery for indirect inguinal hernia in children,laryngeal mask ventilation anesthesia has less influence on hemodynamic indexes than general anesthesia with tracheal intubation.The recovery of children is faster and the complication rate is lower,which is worth recommending.