对比七氟醚喉罩吸入麻醉与异丙酚静脉麻醉在小儿腹股沟斜疝手术中的应用

目的对比七氟醚喉罩吸入麻醉与异丙酚静脉麻醉在小儿腹股沟斜疝手术中的应用。 方法选取2017年1月至2018年1月，东部战区总医院收治的小儿腹股沟斜疝患儿100例，按麻醉方案的不同将其分为对照组和观察组，每组50例。对照组给予异丙酚静脉麻醉，观察组给予七氟醚喉罩吸入麻醉。比较2组麻醉效果，不同时间点的平均动脉压（MAP）、心率（HR）和血氧饱和度（SpO₂）的变化及2组拔管后不良反应。 结果观察组的意识消失时间、诱导至插管时间、苏醒时间、拔喉罩时间、离开麻醉恢复室时间均短于对照组，差异有统计学意义（P<0.05）。T1～T3时2组MAP和对照组HR比较，差异有统计学意义（P<0.05），T1～T3时2组MAP和HR均呈现升高趋势（P<0.05），且T2、T3时对照组MAP和HR高于观察组（P<0.05）；2组SpO₂在T1～T3无差异（P>0.05）；观察组和对照组苏醒后的不良反应发生率分别为4.00%、16.00%，且观察组的不良反应发生率低于对照组（P<0.05）。 结论小儿腹股沟斜疝手术中七氟醚喉罩吸入麻醉可以使患儿生命体征平稳，术后不良反应较少，且麻醉效果优于异丙酚静脉麻醉。

Comparison of sevoflurane laryngeal mask inhalation anesthesia and propofol intravenous anesthesia in indirect inguinal hernia surgery in children

ObjectiveTo compare the effects of sevoflurane laryngeal mask inhalation anesthesia and propofol intravenous anesthesia in indirect inguinal hernia surgery in children. MethodsOne hundred children with indirect inguinal hernia admitted to General hospital of Easter War Zone Objective from January 2017 to January 2018 were divided into control group (n=50) and observation group (n=50) according to different anesthesia schemes. The control group was given propofol intravenous anesthesia, while the observation group was given sevoflurane laryngeal mask inhalation anesthesia. The effects of anesthesia and the changes of MAP, HR and SpO₂ at different time points were compared between the two groups. The adverse reactions after extubation were compared. ResultsThe disappearance time of consciousness in the observation group was shorter than that in the control group (P<0.05). At T1 to T3, there were differences in MAP and HR between the two groups (P<0.05), and at T2 and T3, the MAP and HR in the control group were higher than those in the observation group. There was no difference in SpO₂ between the two groups in T1 to T3 (P>0.05). The incidence of adverse reactions in the observation group and the control group were 4.00% and 16.00%, respectively, and the incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). ConclusionSevoflurane laryngeal mask inhalation anesthesia in indirect inguinal hernia surgery can make the vital signs of children stable, less adverse reactions after operation, and the anesthetic effect is better than propofol intravenous anesthesia. It is worthy of clinical application.