非插管静吸复合全麻用于小儿腹股沟斜疝腹腔镜手术麻醉临床观察.docVIP

非插管静吸复合全麻用于小儿腹股沟斜疝腹腔镜手术麻醉临床观察 　　摘要：目的 观察研究非插管静吸复合全麻用于小儿腹股沟斜疝腹腔镜手术麻醉的临床效果。方法 根据随机数字表法选取2014年10月～2016年10月在我院行腹股沟斜疝腹腔镜手术的患儿100例，随机分为对照组和观察组各50例。其中对照组患儿采用插管全麻的方式进行麻醉，观察组患儿采用静脉复合七氟醚吸入的方式进行麻醉，比较两组患儿术后的手术时间和苏醒时间以及建立气腹前5 min、后5 min和15 min及放气后5 min的心率（HR）、动脉压（MAP）和血氧饱和度（SpO2）变化情况。结果 两组患儿的手术时间以及HR、MAP和SpO2变化无显著性差异；观察组患儿的苏醒时间优于对照组患者的苏醒时间；两组患儿建立气腹后的HR和MAP均较建立前的HR和MAP显著提高。结论 非插管静吸复合全麻用于小儿腹股沟斜疝腹腔镜手术的麻醉中，能够取得极为满意的效果。 关键词：静吸复合全麻；非插管；腹腔镜手术 Clinical Observation of Laparoscopic Surgery for Anesthesia of Inguinal Hernia in Children with Non-intubation Combined with General Anesthesia LAN Bin （Department of Anesthesiology，Fushun County People’s Hospital，Zigong 643200，Sichuan，China） Abstract：Objective To study the effects of non intubation general anesthesia for clinical anesthesia pediatric inguinal hernia laparoscopic surgery. Methods According to the random number table method from October 2014～2016 year in October in our hospital underwent laparoscopic inguinal hernia surgery in children with 100 cases，were randomly divided into control group and observation group with 50 cases in each group.The control group were treated with general anesthesia intubation the way of anesthesia，the observation group was treated by the way of combined intravenous and inhalation anesthesia，the operation time and recovery time of the two groups were compared，and the changes of heart rate（HR），arterial pressure（MAP） and oxygen saturation（SpO2）were measured before and after the establishment of 5 min，and after the first 5 min and 15 min，and the rate of 5 min after discharge.Results There was no significant difference in the operation time and HR，MAP and SpO2 between the two groups.The recovery time of the observation group was better than that of the control group.The HR and MAP of the two groups were higher than those of the control group before the establishment of HR and MAP significantly improved.Conclusion Non-intubation combined with general anesthesia for anesthesia in pediatric ingui