小儿腹腔镜腹股沟斜疝手术中采用喉罩通气与气管插管麻醉效果观察

目的观察对比在小儿腹腔镜腹股沟斜疝手术中,采用喉罩通气与气管插管的麻醉效果。 方法纳入2019年5月至2020年5月于十堰市妇幼保健院确诊并进行腹腔镜腹股沟疝修补术治疗的患儿100例,按随机数字表法均分为观察组和对照组,每组患儿50例。对照组患儿接受气管插管方式进行麻醉,观察组患儿接受喉罩通气方式进行麻醉。记录所有患儿的基线资料、术中相关指标、血流动力学以及呼吸系统并发症,并进行比较。 结果2组患者临床资料比较,差异无统计学意义（P>0.05）;观察组患儿的麻醉时间、恢复时间、拔管时间[（39.15±6.88）、（4.45±1.85）、（6.15±1.56）min]均短于对照组[（44.95±8.98）、（7.96±1.86）、（13.58±3.28）min],差异均有统计学意义（P<0.05）;观察组除术前外的各时间点的各项血流动力学指标均明显优于对照组患儿（P<0.05）;观察组患儿的并发症总发生率（10.00%）明显少于对照组（34.00%）,差异有统计学意义（P<0.05）。 结论在小儿腹腔镜腹股沟斜疝手术中采用喉罩通气的方式进行麻醉是安全可行的。

Effect of laryngeal mask ventilation and tracheal intubation anesthesia in pediatric laparoscopic indirect inguinal hernia surgery

ObjectiveTo observe and compare the anesthesia effect of laryngeal mask ventilation and tracheal intubation in pediatric laparoscopic indirect inguinal hernia surgery. MethodsA total of 100 children diagnosed and treated with laparoscopic inguinal hernia repair in Shiyan Maternal and Child Health Hospital from May 2019 to May 2020 were recruited and randomly divided into the control group and the observation group according to the random number table method, with 50 children in each group. The children in the control group received tracheal intubation for anesthesia, and the children in the observation group received anesthesia by means of laryngeal mask ventilation. The baseline data, intraoperative indicators, hemodynamics and respiratory complications of all children were recorded and compared. ResultsThere was no significant difference in clinical data between the two groups (P>0.05). The anesthesia time, recovery time, and extubation time of the observation group (39.15±6.88, 4.45±1.85, 6.15±1.56 min) were shorter than those of the control group (44.95±8.98, 7.96±1.86, 13.58±3.28 min) (P<0.05). The hemodynamic indexes of the observation group at each time point expect before operation were significantly better than those of the control group (P<0.05). The total incidence of complications in the observation group (10.00%) was significantly lower than that in the control group (34.00%) (P<0.05). ConclusionsLaryngeal mask ventilation is feasible and safe for anesthesia in pediatric laparoscopic indirect inguinal hernia surgery.