经喉罩通气吸入七氟烷用于小儿疝手术麻醉的效果观察  

Clinical observation of laryngeal mask airway inhalation sevoflurane anesthesia for pediatric hernia surgery

作　　者：周利 徐国勇[1] 孙昊天[1] Zhou Li;Xu Guoyong;Sun Haotian(Department of Anesthesiology,Jiaxing Hospital of Zhejiang Corps of Armed Police Force,Jiaxing,Zhejing 314000,China)

机构地区：[1]武警浙江省总队嘉兴医院麻醉科,浙江省嘉兴314000

出　　处：《中国基层医药》2018年第23期3002-3004,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省嘉兴市科技计划项目(2017BY18047).

摘　　要：目的探讨经喉罩通气吸入七氟烷用于小儿疝手术的麻醉效果。方法选取2014年7月至2016年11月武警浙江省总队嘉兴医院收治的小儿疝患儿92例,采用随机数字表法分成研究组与对照组,每组46例;全部入选患儿均依据其具体情况给予手术治疗,研究组在手术中应用喉罩通气七氟烷吸入麻醉;对照组给予气管插管麻醉,分析两组患儿的生命体征变化情况、麻醉效果及治疗满意度等。结果患儿均通过手术治疗。两组各时间点心率(HR)及平均动脉压(MAP)变化情况:研究组明显优于对照组;研究组睁眼时间、完全清醒时间分别为(7.28±1.07)min、(12.96±1.38)min,显著优于对照组的(13.02±1.75)min、(21.13±2.82)min(t=18.979,P=0.001;t=17.649,P=0.001);研究组总满意度为97.83%,显著高于对照组的82.61%(χ^2=13.126,P=0.002)。结论在小儿疝手术治疗中应用喉罩通气全凭吸入七氟烷麻醉,具有良好的麻醉效果,对患儿血流动力学的影响明显减小,且术后恢复快。Objective To investigate and analyze the clinical effect of laryngeal mask airway inhalation anesthesia with sevoflurane on pediatric colic surgery.Methods From July 2014 to November 2016,92 cases with pediatric hernia in Jiaxing Hospital of Zhejiang Corps of Armed Police Force were randomly divided into study group and control group according to the digital table,with 46 patients in each group.All patients were selected according to the specific circumstances given hernia surgery,sevoflurane inhalation anesthesia with laryngeal mask airway in the study group in the operation,the control group was given tracheal intubation anesthesia.The changes of vital signs,the anesthesia effect and treatment satisfaction etc.were observed and analyzed.Results All the patients were treated by surgery,the heart rate (HR) and mean arterial pressure(MAP) changes in the study group were significantly better than those in the control group(all P<0.05). The eye opening time and awake time in the study group were (7.28±1.07)min,(12.96±1.38)min,respectively,which were significantly better than those in the control group [(13.02±1.75)min,(21.13±2.82)min] (t=18.979,P=0.001;t=17.649,P=0.001). The total satisfaction rate of the study group was 97.83%,which was significantly higher than 82.61% of the control group (χ^2=13.126=0.002).Conclusion The application of laryngeal surgery in children with hernia in mask ventilation of sevoflurane anesthesia,has good anesthetic effect,it has less influence on hemodynamics in children,and rapid postoperative recovery.

关 键 词：疝修补术 麻醉 吸入 七氟烷 

分 类 号：R726.1[医药卫生—儿科]