喉罩七氟醚全麻与氯胺酮全麻联合骶管阻滞在小儿戴环包皮环切术中的应用

Laryngeal mask airway general anesthesia with sevoflurane and ketamine anesthesia combined with sacral block wear ring circumcision in children

目的:对喉罩七氟醚全麻与氯胺酮全麻联合骶管阻滞在小儿戴环包皮环切术中的应用进行分析。方法:2012年8月-2013年10月收治进行包皮环切术患儿72例,随机分为两组,对照组36例应用氯胺酮全麻联合骶管阻滞,研究组36例应用喉罩七氟醚吸入全麻联合骶管阻滞,并对两组的应用效果作回顾性分析与比较。结果:两组患者的手术时间与术后不良反应等指标比较差异无统计学意义(P>0.05);但研究组麻醉后5分钟、手术时及手术结束后5分钟的BP、HR、SPO2等指标、苏醒时间、术后躁动发生率明显优于对照组,组间比较差异具有统计学意义(P<0.05)。结论:对患儿实施戴环包皮环切术时应用喉罩七氟醚吸入全麻联合骶管阻滞,针对其他麻醉方案而言,前者的麻醉方案起效快,且能够保证患儿在手术过程中生命体征更加平稳,术后平稳苏醒比较快,因此其更利于在小儿门诊手术中应用。

Objective:We analyzed the laryngeal mask general anesthesia with sevoflurane and ketamine anesthesia combined with sacral block in children's wear ring circumcision.Methods:72 children who had circumcision were selected from August 2012 to October 2013.They were randomly divided into two groups.36 cases in the control group were given ketamine anesthesia combined with sacral block,while 36 cases in the study group were given laryngeal mask with sevoflurane inhalation anesthesia combined with sacral block.Then we retrospectively analyzed the application effect of the two groups.Results:There was no significant difference of operation time and adverse reaction after the operation of the patients in two groups(P>0.05).The BP,HR, SPO2of after 5 minutes of anesthesia, operationing,5 minutes after the end of operation,the recovery time and the postoperative agitation of the study group were significantly better than the control group,and there was statistical significance between the two groups(P<0.05).Conclusion:We find the onset time of laryngeal mask with sevoflurane inhalation anesthesia combined with sacral block implementation of wear ring circumcision on children is faster than the other anesthesia scheme,and it can ensure that the children in the operation process of vital signs is more stable,faster postoperative recovery smoothly,so it is more advantageous to the application in children in the outpatient operation.