七氟醚喉罩吸入麻醉与丙泊酚静脉麻醉在小儿腹股沟斜疝手术中的疗效对比

Efficacy Comparison of Sevoflurane Laryngeal Mask Inhalation Anesthesia and Propofol Intravenous Anesthesia in Pediatric Indirect Inguinal Hernia Surgery

目的:探究在小儿腹股沟斜疝手术中应用七氟醚喉罩吸入麻醉与丙泊酚静脉麻醉的效果。方法:将2018年1月-2020年12月邳州市中医院收治的78例腹股沟斜疝手术患儿作为研究对象,按照随机数表法分为对照组与观察组,各39例。对照组应用丙泊酚静脉麻醉;观察组应用七氟醚喉罩吸入麻醉。比较两组患儿麻醉前(T_(0))、插管时(T_(1))、手术开始时(T_(2))、术毕(T_(3))的血流动力学水平及麻醉效果、躁动发生率。结果:两组T_(1)、T_(2)、T_(3)时心率、收缩压、舒张压水平均较T_(0)时升高,差异有统计学意义(P<0.05)。两组患儿麻醉时间相近,差异无统计学意义(P>0.05);但观察组患儿麻醉苏醒时间及清醒时间均较对照组短,差异有统计学意义(P<0.05)。观察组患儿麻醉诱导期躁动发生率以及苏醒期躁动发生率与对照组相近,差异无统计学意义(P>0.05)。结论:七氟醚喉罩吸入麻醉与丙泊酚静脉麻醉对患儿血流动力学影响程度与麻醉时间相近,但七氟醚喉罩吸入麻醉苏醒时间较快,且未明显增加躁动发生率。

Objective:To explore the effect of sevoflurane laryngeal mask inhalation anesthesia and propofol intravenous anesthesia in pediatric indirect inguinal hernia surgery.Methods:Seventy-eight children undergoing indirect inguinal hernia surgery in Pizhou Hospital of Traditional Chinese Medicine from January 2018 to December 2020 were selected as the subjects,and they were divided into the control group and the observation group by random number table method,with 39 cases in each group.The control group used propofol intravenous anesthesia;the observation group used sevoflurane laryngeal mask inhalation anesthesia.The hemodynamic level before anesthesia(T_(0)),at intubation(T_(1)),at the start of operation(T_(2)),and at the end of operation(T_(3)),as well as anesthetic effect and the incidence of agitation were compared between the two groups.Results:The levels of heart rate,systolic blood pressure,diastolic blood pressure at T_(1),T_(2) and T_(3) were higher than those at T_(0) in two groups,and the difference was statistically significant(P<0.05).The anesthesia time of children in the two groups was similar,without statistically significant difference(P>0.05);The anesthesia recovery time and awake time of children in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of agitation during anesthesia induction stage and recovery stage in the observation group was similar to that in the control group,without statistically significant difference(P>0.05).Conclusion:Sevoflurane laryngeal mask inhalation anesthesia and propofol intravenous anesthesia have similar effects on hemodynamics and anesthesia time;Sevoflurane laryngeal mask inhalation anesthesia can shorten the anesthesia recovery time,and does not significantly increase the incidence of agitation.