七氟醚联合骶管阻滞麻醉在小儿疝气手术中的应用  

Application of Sevoflurane Combined with Sacral Block Anesthesia in Pediatric Hernia Surgery

作　　者：吴冬金[1] 冯宇峰[1] WU Dongjin;FENG Yufeng(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院

出　　处：《中外医学研究》2019年第33期33-35,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨七氟醚联合骶管阻滞麻醉在小儿疝气手术中的麻醉效果。方法:选取2018年3-8月笔者所在医院需行小儿疝气手术的86例患儿为研究对象,随机分为A组与B组,每组43例。A组采用静脉注射氯胺酮,B组采用七氟醚联合骶管阻滞麻醉。观察两组不同时间生命体征变化、麻醉诱导时间、麻醉持续时间、苏醒时间、术后PAED评分、术后VAS评分及不良反应发生情况。结果:两组T2、T4 SBP、HR与DBP水平均高于T0,A组T2、T4 SBP、HR与DBP水平均高于B组,差异均有统计学意义(P<0.05);B组麻醉诱导时间、苏醒时间均短于A组,PAED与VAS评分均低于A组,差异均有统计学意义(P<0.05);两组麻醉持续时间、不良反应发生率对比,差异均无统计学意义(P>0.05)。结论:七氟醚联合骶管阻滞麻醉在小儿疝气手术中的麻醉效果显著,麻醉诱导时间短,术后苏醒较快,能减少患儿术后躁动情况,临床价值较高,值得推广。Objective: To investigate the anesthetic effect of Sevoflurane combined with sacral block anesthesia in pediatric hernia surgery. Method: From March to August 2018, 86 children undergoing pediatric hernia surgery in our hospital were selected as the study subjects. Children were randomly divided into the group A and the group B, 43 cases in each group. The group A was given intravenous Ketamine, and the group B was given Sevoflurane combined with sacral block anesthesia. The changes of vital signs at different times, induction time of anesthesia, duration time of anesthesia, recovery time, post-operative PAED score, postoperative VAS score and adverse reactions were observed between the two groups. Result: The levels of SBP, HR and DBP at T2 and T4 in two groups were higher than T0. The levels of SBP, HR and DBP at T2 and T4 in the group A were higher than those of the group B, and the differences were statistically significant(P<0.05). The induction time of anesthesia and recovery time in the group B were shorter than those of the group A, and the scores of PAED and VAS were lower than those of the group A, and the differences were statistically significant(P<0.05). The duration time of anesthesia and the incidence of adverse reactions were compared between the two groups, and the differences were not statistically significant(P>0.05). Conclusion: Sevoflurane combined with sacral block anesthesia in pediatric hernia surgery has remarkable anesthetic effect, induction time of anesthesia is short, postoperative recovery is faster, which can reduce children postoperative agitation, and it has high clinical value, which is worthy of promotion.

关 键 词：小儿 七氟醚 吸入麻醉 氯胺酮 静脉麻醉 骶管阻滞 小儿疝气手术 

分 类 号：R61[医药卫生—外科学]