CAJ | 학술논문

目的：对腔镜下幼儿腹股沟斜疝疝囊高位结扎术的麻醉方式、对策及安全性进行相关分析。方法：2013年2月-2014年2月收治行腔镜下幼儿疝囊高位结扎术患者128例，分成A组与B组。A组行丙泊酚复合氯胺酮全麻，B组行七氟醚复合氯胺酮全麻，比较两组术前、术后的相关数据。结果：两组气腹后呼吸频率都有一定的上升且差异具有统计学意义(P＜0.05)。B组心率较气腹前提高(P＜0.05)。A组术后出现恶心、呕吐16例，不良反应发生率25.0%，B组没有不良反应情况发生(0.0%)，两组不良反应发生率比较差异有统计学意义(P＜0.05)。结论：七氟醚复合氯胺酮全麻的方式在腹腔镜下幼儿腹股沟斜疝疝囊高位结扎术中有安全、方便且效果更佳等优点，值得在临床上推广使用。
목적：대강경하유인복고구사산산낭고위결찰술적마취방식、대책급안전성진행상관분석。방법：2013년2월-2014년2월수치행강경하유인산낭고위결찰술환자128례，분성A조여B조。A조행병박분복합록알동전마，B조행칠불미복합록알동전마，비교량조술전、술후적상관수거。결과：량조기복후호흡빈솔도유일정적상승차차이구유통계학의의(P＜0.05)。B조심솔교기복전제고(P＜0.05)。A조술후출현악심、구토16례，불량반응발생솔25.0%，B조몰유불량반응정황발생(0.0%)，량조불량반응발생솔비교차이유통계학의의(P＜0.05)。결론：칠불미복합록알동전마적방식재복강경하유인복고구사산산낭고위결찰술중유안전、방편차효과경가등우점，치득재림상상추엄사용。
Objective:To explore the anesthesia,relevant countermeasures and safety of laparoscopic high ligation in the treatment of pediatric inguinal hernia.Methods:128 cases of pediatric inguinal hernia patients treated with laparoscopic high ligation from February 2013 to February 2014 were divided into group A and group B.Group A were given propofol compound ketamine anesthesia,and group B were given sevoflurane compound ketamine anesthesia.We compared the preoperative data of the two groups after the operation.Results:The breathing of the two groups had risen after pneumoperitoneum and the differences were statistically significant(P<0.05).The heart rate of group B was relatively rised than before pneumoperitoneum(P<0.05).There were 16 cases in group A had postoperative nausea and vomiting,and the incidence of adverse reactions was 25.0%,but there was no adverse reactions in group B(0.0%).There was difference of the incidence of adverse reaction between the two groups,and the difference was statistically significant(P<0.05).Conclusion:The anesthesia way of sevoflurane compound ketamine in the laparoscopic high ligation treating pediatric inguinal hernia had the advantages of safe,convenient and better effect,worth popularizing in clinical use.