国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
21期
3277-3279
,共3页
腹股沟斜疝%单孔腹腔镜手术%骶管阻滞%七氟醚%麻醉
腹股溝斜疝%單孔腹腔鏡手術%骶管阻滯%七氟醚%痳醉
복고구사산%단공복강경수술%저관조체%칠불미%마취
Inguinal hernia%Single hole laparoscopic operation%Sacral block anesthesia%Sevoflurane%Anesthesia
目的 观察七氟醚吸入全麻加骶管阻滞在小儿腹股沟斜疝单孔腹腔镜手术麻醉中的临床应用,及其术后早期苏醒及镇痛效果.方法 选择腹股沟斜疝手术患儿60例,随机数字表法分为观察组和对照组(n=30).观察组面罩吸入七氟醚麻醉诱导后插入气管导管,采用骶管阻滞加七氟醚吸入全麻维持,对照组采用七氟醚吸入复合静脉全麻维持.观察两组患儿术中心率、血压及脉搏血氧饱和度、苏醒时间以及出室时哭闹评分及术后30 min疼痛评分.结果 两组切皮时均表现出良好的麻醉效果、术中生命体征较稳定;观察组术毕苏醒时间[(5.8±3.6)min]与对照组[(15.6±8.5)min]比较差异有统计学意义(P＜0.001),在出室时表现出更好的镇痛效果.结论 七氟醚吸入全麻加骶管阻滞在小儿腹股沟斜疝单孔腹腔镜手术有利于患儿的术中麻醉管理和术后快速苏醒,并且能提供良好的术后镇痛效果.
目的 觀察七氟醚吸入全痳加骶管阻滯在小兒腹股溝斜疝單孔腹腔鏡手術痳醉中的臨床應用,及其術後早期囌醒及鎮痛效果.方法 選擇腹股溝斜疝手術患兒60例,隨機數字錶法分為觀察組和對照組(n=30).觀察組麵罩吸入七氟醚痳醉誘導後插入氣管導管,採用骶管阻滯加七氟醚吸入全痳維持,對照組採用七氟醚吸入複閤靜脈全痳維持.觀察兩組患兒術中心率、血壓及脈搏血氧飽和度、囌醒時間以及齣室時哭鬧評分及術後30 min疼痛評分.結果 兩組切皮時均錶現齣良好的痳醉效果、術中生命體徵較穩定;觀察組術畢囌醒時間[(5.8±3.6)min]與對照組[(15.6±8.5)min]比較差異有統計學意義(P＜0.001),在齣室時錶現齣更好的鎮痛效果.結論 七氟醚吸入全痳加骶管阻滯在小兒腹股溝斜疝單孔腹腔鏡手術有利于患兒的術中痳醉管理和術後快速囌醒,併且能提供良好的術後鎮痛效果.
목적 관찰칠불미흡입전마가저관조체재소인복고구사산단공복강경수술마취중적림상응용,급기술후조기소성급진통효과.방법 선택복고구사산수술환인60례,수궤수자표법분위관찰조화대조조(n=30).관찰조면조흡입칠불미마취유도후삽입기관도관,채용저관조체가칠불미흡입전마유지,대조조채용칠불미흡입복합정맥전마유지.관찰량조환인술중심솔、혈압급맥박혈양포화도、소성시간이급출실시곡료평분급술후30 min동통평분.결과 량조절피시균표현출량호적마취효과、술중생명체정교은정;관찰조술필소성시간[(5.8±3.6)min]여대조조[(15.6±8.5)min]비교차이유통계학의의(P＜0.001),재출실시표현출경호적진통효과.결론 칠불미흡입전마가저관조체재소인복고구사산단공복강경수술유리우환인적술중마취관리화술후쾌속소성,병차능제공량호적술후진통효과.
Objective To observe the clinical application effect of general anesthesia with sevoflurane inhalation anesthesia combined with sacral block in children with indirect inguinal hernia in single hole laparoscopic operation,and early postoperative recovery and analgesic effect.Methods 60 cases of children with indirect inguinal hernia operation,were randomly divided into the observation group and the control group (n=30).The observation group was given mask inhalation of sevoflurane anesthesia induction after insertion of endotracheal tube,the caudal block combined with sevoflurane inhalation anesthesia maintain,control group was treated with sevoflurane inhalation combined with intravenous anesthesia maintenance.The two groups were observed in heart rate,blood pressure and pulse oximetry,recovery time and room crying in pain score and 30 mins score.Results The incision of skin in two groups showed good effect of anesthesia,vital signs were stable during the time of analepsia; observation group (5.8 ± 3.6) min and control group (15.6 ± 8.5) min,showing statistical significant difference (P ＜ 0.001),with a better analgesic =effect in the room.Conclusion Sevoflurane inhalation anesthesia combined with sacral block is conducive to children's anesthesia management and postoperative rapid recovery in children with indirect inguinal hernia of single hole laparoscopic operation,and can provide good effect of postoperative analgesia.
