七氟醚面罩吸入全麻辅以骶管阻滞麻醉对斜疝修补术患儿的影响  

Effect of Sevoflurane mask inhalation general anesthesia combined with sacral block anesthesia on children undergoing indirect hernia repair

作　　者：黄光梅[1] 周育华[1] 梁开远[1] HUANG Guangmei;ZHOU Yuhua;LIANG Kaiyuan(Department of Anesthesiology,Guigang Peopele’s Hospital,Guangxi Zhuang Autonomous Region,Guigang537100,China)

机构地区：[1]广西壮族自治区贵港市人民医院麻醉科,广西贵港537100

出　　处：《中国医药导报》2021年第25期111-114,共4页China Medical Herald

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200546)。

摘　　要：目的探讨七氟醚面罩吸入全麻辅以骶管阻滞麻醉对斜疝修补术患儿的影响。方法选取2016年1月至2019年12月广西壮族自治区贵港市人民医院行腹腔镜斜疝修补术(单部位)的患儿300例为研究对象,按随机抽签法分为研究组(150例,七氟醚面罩吸入全麻辅以骶管阻滞麻醉),对照组(150例,单纯静脉全麻)。比较两组患儿麻醉诱导前(T_(1))、麻醉诱导后5 min(T_(2))、手术开始时(T_(3))、手术开始后15 min(T_(4))、手术结束时(T_(5))、苏醒时(T_(6))的心率及平均动脉压,并统计波动值;比较两组苏醒时间和疼痛程度;观察并记录麻醉不良反应的发生情况。结果与T_(1)比较,对照组T_(2)~T_(6)时、研究组T_(2)~T_(5)时心率增快,平均动脉压升高,差异有统计学意义(P<0.05)。与对照组比较,研究组T_(2)~T_(6)时心率减慢,平均动脉压降低,差异有统计学意义(P<0.05)。与对照组比较,研究组心率、平均动脉压波动值小,差异有统计学意义(P<0.05)。与对照组比较,研究组术后苏醒时间缩短,疼痛评分降低,差异有统计学意义(P<0.05)。与对照组比较,研究组麻醉不良反应总发生率降低,差异有统计学意义(P<0.05)。结论七氟醚面罩吸入全麻辅以骶管阻滞麻醉对斜疝修补术患儿麻醉效果良好,可提高麻醉安全性。Objective To investigate the effect of Sevoflurane mask inhalation general anesthesia combined with sacral canal block anesthesia on children undergoing indirect hernia repair.Methods A total of 300 children who underwent laparoscopic indirect hernia repair(single site)in Guigang Peopele’s Hospital,Guangxi Zhuang Autonomous Region from January 2016 to December 2019 were selected as the research objects,they were divided into study group(150 cases,Sevoflurane mask inhalation general anesthesia supplemented with sacral block anesthesia)and control group(150 cases,intravenous general anesthesia alone)by random drawing.Heart rate and mean arterial pressure before anesthesia induction(T_(1)),5 min after anest2hesia induction(T_(2)),at the beginning of operation(T_(3)),15 min after operation(T_(4)),at the end of operation(T_(5))and at the time of recovery(T_(6))were compared,and the fluctuation value was statistically analyzed;the recovery time and pain degree were compared between two groups;the occurrence of anesthesia adverse reactions was observed and recorded.Results Compared with T_(1),heart rate and mean arterial pressure were increased at T_(2)-T_(6) in control group and at T_(2)-T_(5) in study group,and the differences were statistically significant(P<0.05).Compared with control group,heart rate was decreased,and the mean arterial pressure was slowed down in study group at T_(2)-T_(6),and the differences were statistically significant(P<0.05).Compared with control group,the fluctuation values of heart rate and mean arterial pressure in study group were smaller,and the differences were statistically significant(P<0.05).Compared with control group,the postoperative recovery time was shortened and the pain score was decreased in study group,and the differences were statistically significant(P<0.05).Compared with control group,the total incidence of anesthetic adverse reactions in study group was decreased,and the differences were statistically significant(P<0.05).Conclusion Sevoflurane mask inhaled general anes

关 键 词：七氟醚 面罩吸入 全麻 骶管阻滞麻醉 斜疝修补术 

分 类 号：R656.21[医药卫生—外科学]