喉罩麻醉在儿童腹腔镜腹股沟斜疝手术中的应用效果观察  

Effect of Laryngeal Mask Anesthesia in Laparoscopic Indirect Inguinal Hernia Surgery in Children

作　　者：谢业伟 俞东海 孙海亮[1] 赵乐怿 XIE Yewei;YU Donghai;SUN Hailiang;ZHAO Leyi(Affiliated Changzhou Children’s Hospital of Nantong University,Changzhou 213003,China;不详)

机构地区：[1]南通大学附属常州儿童医院,江苏常州213003

出　　处：《中国医学创新》2022年第3期144-148,共5页Medical Innovation of China

摘　　要：目的:比较喉罩麻醉和气管插管麻醉在儿童腹腔镜腹股沟斜疝手术麻醉中的临床效果。方法:选取2018年6月-2021年6月在南通大学附属常州儿童医院行腹腔镜腹股沟斜疝手术患儿60例作为研究对象,使用随机数字表法将患儿分为喉罩麻醉组和气管插管麻醉组,每组30例。比较两组患儿术中及术后苏醒情况、术中血流动力学情况以及术后麻醉置管相关不良反应发生情况。结果:喉罩麻醉组患儿麻醉诱导时间、拔管时间和清醒时间均短于气管插管麻醉组,差异均有统计学意义(P<0.05)。两组患儿平均动脉压、心率在T_(0)时比较,差异均无统计学意义(P>0.05)。喉罩麻醉组在T_(1)、T_(2)、T_(3)时的平均动脉压、心率与T_(0)时比较,差异均无统计学意义(P>0.05)。气管插管麻醉组在T_(1)、T_(2)、T_(3)时的平均动脉压、心率均明显高于在T_(0)时,差异均有统计学意义(P<0.05)。喉罩麻醉组在T_(1)、T_(2)、T_(3)时的平均动脉压、心率均明显低于气管插管麻醉组,差异均有统计学意义(P<0.05)。喉罩麻醉组出现麻醉置管相关不良反应发生率明显低于气管插管麻醉组,差异有统计学意义(P<0.05)。结论:与气管插管麻醉相比,喉罩置管麻醉在儿童腹腔镜腹股沟斜疝手术中对患儿刺激更小,术中血流动力学情况更平稳,术后拔管时间缩短,能有效缩短患儿围麻醉期时间,减少麻醉置管相关不良反应。Objective:To compare the clinical effects of laryngeal mask anesthesia and endotracheal intubation anesthesia in laparoscopic indirect inguinal hernia surgery in children.Method:A total of 60 children who underwent laparoscopic indirect inguinal hernia surgery in Affiliated Changzhou Children’s Hospital of Nantong University from June 2018 to June 2021 were divided into laryngeal mask anesthesia group and endotracheal intubation anesthesia group according to the random number table method,with 30 cases in each group.The intraoperative and postoperative recovery,intraoperative hemodynamics and postoperative adverse reactions related to anesthesia and catheterization were compared between the two groups.Result:The anesthesia induction time,the extubation time and the awake time in the laryngeal mask anesthesia group were shorter than those in the endotracheal intubation anesthesia group,and the differences were statistically significant(P<0.05).There were no significant differences in mean arterial pressure and heart rate between the two groups at T_(0)(P>0.05).There were no significant differences in mean arterial pressure and heart rate between T_(1),T_(2) and T_(3) and T_(0) in laryngeal mask anesthesia group(P>0.05).The mean arterial pressure and heart rate in the endotracheal intubation anesthesia group at T_(1),T_(2) and T_(3) were significantly higher than those at T_(0),the differences were statistically significant(P<0.05).The mean arterial pressure and heart rate of laryngeal mask anesthesia group at T_(1),T_(2) and T_(3) were significantly lower than those of endotracheal intubation anesthesia group,the differences were statistically significant(P<0.05).The incidence of adverse reactions related to anesthesia catheterization in laryngeal mask anesthesia group was significantly lower than that in tracheal intubation anesthesia group,the difference was statistically significant(P<0.05).Conclusion:Compared with endotracheal intubation anesthesia,laryngeal mask intubation in children’s laparoscopic indir

关 键 词：喉罩麻醉 气管插管 腹腔镜腹股沟斜疝手术 

分 类 号：R726.1[医药卫生—儿科]