喉罩吸入七氟醚联合骶麻在小儿尿道下裂手术中的应用  

Application of laryngeal mask inhalation sevoflurane anesthesia combined with sacral block in children undergoing hypospadias restitution

作　　者：贺芙云[1] 马保新[1] 郑辉利[1] 

机构地区：[1]厦门大学附属中山医院麻醉科,厦门市361004

出　　处：《临床麻醉学杂志》2011年第4期369-370,共2页Journal of Clinical Anesthesiology

摘　　要：目的研究喉罩吸入七氟醚全麻联合骶麻在小儿尿道下裂手术中的应用效果。方法择期行尿道下裂成形术的患儿60例，年龄1～6岁，随机均分为喉罩吸人七氟醚联合骶麻组（A组），喉罩吸入七氟醚组（B组）和丙泊酚复合氯胺酮麻醉组（C组）。术中均保留自主呼吸。记录呼吸循环变化，诱导和苏醒时间，术中体动和术后不良反应的发生率。结果与C组相比，A、B组诱导平稳，苏醒时间明显缩短（P〈0．05）。切皮后30、60min、术毕时B、C组HR明显快于A组和诱导前（P〈O．05）。B、C组术中体动、气道辅助处理和苏醒期躁动发生率明显高于A组（P〈0．05）。结论喉罩吸人七氟醚全麻联合骶麻气道管理方便，有效抑制应激反应，不良反应少，可安全有效地应用于小儿尿道下裂手术。Objective To study the efficacy of laryngeal mask inhalation sevoflurane anesthesia combined with sacral block in children undergoing hypospadias restitution. Methods sixty children aged from 1 to 6 years old were randomly divided into laryngeal mask inhalation sevoflurane anesthesia combined with sacral block （group A） ,laryngeal mask inhalation sevoflurane （group B） and ketamine （group C） with 20 cases each. Remain spontaneous breath as far as possible during operation. Induction time, recovery time and the incidences of laryngospasm, vomiting, movement, change of circulation and respiration during operation and agitation were recorded. Results Compared with group C, the induction of anesthesia in group A and B were smooth with both induction and recovery time shorter（P〈0. 05） ,and the heart rate in this group was faster than group A （P〈0. 05） ,and less incidence of movement was observed during operation group A. Conclusion Laryngeal mask inhalation sevoflurane anesthesia combined with sacral block has advantages of quicker induction and recovery with less adverse effects, while it can also make airway management easy and suppress stress reaction effectively in children undergoing hypospadias restitution.

关 键 词：喉罩 七氟醚 氯胺酮 骶麻 小儿 

分 类 号：R726.1[医药卫生—儿科]