摘要
目的探究舒芬太尼联合七氟醚在小儿斜疝修补术中的麻醉效果及安全性。方法研究对象方便选取该院2017年5-12月行腹腔镜斜疝修补术治疗的患儿42例。利用随机数字法将患儿分为观察组和对照组,各21例,其中观察组采用七氟醚联合舒芬太尼麻醉,对照组采用丙泊酚联合舒芬太尼麻醉。对比两组患儿麻醉效果及术后不良反应情况,寻找两组患儿麻醉前后平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO2)变化规律。结果观察组患儿麻醉优良率为95.23%,高于对照组的85.71%,但组间差异无统计学意义(χ^2=1.110,P>0.05)。观察组患儿术后苏醒时间(8.23±1.28)min及定向力恢复时间(18.55±6.11)min明显短于对照组(13.89±2.34)min,(26.01±6.99)min,比较差异有统计学意义(t=19.970、3.680,P<0.05);麻醉后,两组患儿MAP、HR变化有明显差异,观察组患儿血流动力学更加稳定,且组别与时间存在交互作用,比较差异有统计学意义(P<0.05);观察组患儿喉痉挛及呛咳的发生率均明显低于对照组(P<0.05)。结论七氟醚联合舒芬太尼进行全麻,镇静效果好,安全可靠,值得在小儿患儿麻醉手术中推广。
Objective To explore the anesthesia effect and safety of sufentanil combined with sevoflurane in the repair of oblique hernia in children.Methods The research subjects were convenient selected from 42 children who underwent laparoscopic indirect hernia repair in the hospital from May 2017 to December 2017.The children were divided into an observation group and a control group by random number method,21 cases in each.The observation group was anesthetized with sevoflurane and sufentanil,and the control group was anesthetized with propofol and sufentanil.The anesthesia effects and postoperative adverse reactions of the two groups of children were compared,and the changes of mean arterial pressure(MAP),heart rate(HR),and pulse oxygen saturation(SpO2)before and after anesthesia were looked for in the two groups of children.Results The excellent and good rate of anesthesia in the observation group was 95.23%,higher than the control group's 85.71%,but there was no statistically significant difference between the groups(χ^2=1.110,P>0.05).Postoperative recovery time(8.23±1.28)min and directional recovery time(18.55±6.11)min in the observation group were significantly shorter than those in the control group(13.89±2.34)min,(26.01±6.99)min,the difference was statistically significant(t=19.970,3.680,P<0.05);After anesthesia,there were significant differences in the changes of MAP and HR between the two groups of children.The hemodynamics of the observation group were more stable,and there was an interaction between the group and time.The difference was statistically significant(P<0.05);the incidence of laryngeal spasm and choking in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Sevoflurane combined with sufentanil for general anesthesia has a good sedative effect,is safe and reliable,and is worthy of popularization in anesthesia for children.
作者
李乙笑
周少宇
王兵
LI Yi-xiao;ZHOU Shao-yu;WANG Bing(Department of Anesthesiology,Second People's Hospital of Zhaoqing,Zhaoqing,Guangdong Province,526000 China)
出处
《中外医疗》
2020年第23期78-80,共3页
China & Foreign Medical Treatment
关键词
七氟醚
小儿
斜疝
麻醉效果
安全性
Sevoflurane
Children
Indirect hernia
Anesthesia effect
Safety
