静吸复合麻醉在小儿腹腔镜疝高位结扎术中的应用

发布时间：2018-06-27 11:18

本文选题：小儿 + 腹腔镜　；参考：《中国医药指南》2016年01期

【摘要】：目的探讨静吸复合麻醉(七氟醚吸入复合丙泊酚+瑞芬太尼静脉麻醉)用于小儿腹腔镜疝修补术的麻醉效果。方法择期小儿腹腔镜疝高位结扎术60例,随机分为七氟醚+丙泊酚+瑞芬太尼静吸复合组(静吸组,n=30);氯胺酮+丙泊酚+瑞芬太尼全凭静脉组(静脉组,n=30),观察麻醉诱导入睡时间及手术过程中关键步骤时患儿心率(HR),平均动脉压(MAP)的变化,记录自主呼吸恢复、拔除喉罩及出恢复室时间。结果静吸组患儿诱导入睡快、术中平稳、自主呼吸恢复、拔除喉罩及出恢复室时间较静脉组明显缩短(P0.05);静脉组患儿诱导入睡时间长、置入喉罩、切皮、建立人工气腹、拔除喉罩时的HR、MAP变化较静吸组患儿变化显著,差异有统计学意义(P0.05)。结论七氟醚吸入复合丙泊酚+瑞芬太尼静脉麻醉,诱导苏醒快,术中血流动力学稳定,术后并发症少,更适于小儿腹腔镜疝高位结扎术。
[Abstract]:Objective to investigate the anesthetic effect of sevoflurane inhalation combined with propofol remifentanil for laparoscopic herniorrhaphy in children. Methods High ligation of laparoscopic hernia was performed in 60 children. They were randomly divided into sevoflurane propofol remifentanil compound group (intravenous group) and ketamine propofol remifentanil intravenous group (intravenous group). Changes in heart rate (HR), mean arterial pressure (map), The time of spontaneous respiration recovery, laryngeal mask extraction and recovery chamber was recorded. Results in the intravenous group, the time of inducing falling asleep was faster, the operation was stable, the spontaneous respiration was recovering, the time of removing larynx mask and recovering ventricle was shorter than that of the venous group (P0.05), the time of inducing to sleep was longer in the intravenous group, the laryngeal mask was placed, the skin was cut, the artificial pneumoperitoneum was established. The changes of HRP map in laryngeal mask group were significantly higher than those in static aspiration group (P0.05). Conclusion sevoflurane inhalation combined with propofol remifentanil intravenous anesthesia can induce fast recovery, stable hemodynamics and less postoperative complications. It is more suitable for high ligation of laparoscopic hernia in children.
【作者单位】：江苏省南通市如皋博爱医院;
【分类号】：R726.1

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