摘要
目的分析疝气腹腔镜手术患儿应用七氟醚复合舒芬太尼麻醉的临床疗效。方法采用随机数字表法将我院97例疝气行腹腔镜手术患儿分组,对照组48例给予氯胺酮肌内注射麻醉,观察组49例采用七氟醚复合舒芬太尼麻醉,对比两组患儿的麻醉效果、血液流变学变化及安全性。结果观察组麻醉诱导时间、苏醒时间、手术时间均低于对照组(P<0.05);观察组麻醉前后MAP、HR、SpO_2水平与对照组对比均无统计学意义(P>0.05);观察组并发症发生率16.33%低于对照组35.42%(P<0.05)。结论七氟醚复合舒芬太尼麻醉能够有效缩短疝气腹腔镜手术患儿的麻醉诱导时间、手术时间及苏醒时间,安全性高。
Objective to analyze the clinical efficacy of sevoflurane combined with sufentanil anesthesia in children undergoing laparoscopic surgery for hernia. Methods randomly in our hospital 97 cases of laparoscopic hernia surgery were given anesthesia control group, intramuscular injection of ketamine group 48 cases, 49 cases of observation group with sevoflurane combined with sufentanil anesthesia, anesthesia, the two groups were compared the changes of blood rheology and safety. Results in the observation group, the anesthesia induction time, recovery time, operation time were lower than the control group（P 〈0.05）; the observation group before and after anesthesia, MAP HR, SpO2 levels compared with the control group had no statistical significance（P〉0.05）; the observation group the incidence of complications was 16.33% lower than that of the control group 35.42%（P 〈0.05）. Conclusion sevoflurane combined with sufentanil anesthesia can effectively shorten the anesthesia induction time, operation time and recovery time of children with laparoscopic hernia surgery, and the safety is high.
作者
刘国增
LIU Guo-zeng(Department of Anesthesiology, Junxian People＇s Hospital, Henan 456250, Xunxian County, Chin)
出处
《首都食品与医药》
2018年第11期55-56,共2页
Capital Food Medicine
