七氟醚吸入全麻加骶管阻滞在小儿单孔腹腔镜疝气手术中的应用

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.

Application of general anesthesia with sevoflurane inhalation anesthesia combined with sacral block in children with indirect inguinal hernia in single hole laparoscopic operation

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.