目的:观察经喉罩全凭七氟醚吸入麻醉在小儿腹股沟疝手术中的临床应用效果。方法:60例ASAⅠⅡ级择期行腹股沟疝囊高位结扎术的患儿随机分成喉罩七氟醚组(实验组)和氯胺酮组(对照组)。实验组以七氟醚诱导后置入喉罩,经喉罩全凭七氟醚吸入维持麻醉,对照组以氯胺酮和异丙酚诱导和维持麻醉。比较两组血流动力学、呼气末CO2分压(PETCO2)、手术时间、苏醒时间、出室时间(在恢复室内停留时间)。记录术中和术后不良反应如体动反应、嗜睡、恶心呕吐等发生情况。结果:对照组在T3、T4、T5时点HR、BP均明显高于实验组相应时点(P lt;0.05)。实验组患儿苏醒时间和出室时间均明显低于对照组(P lt;0.05)。对照组体动反应和嗜睡发生率明显高于实验组(P lt;0.05)。实验组术后恶心发生率明显高于对照组(P lt;0.05)。结论:经喉罩全凭七氟醚吸入麻醉用于小儿腹股沟疝手术,术中经过更平稳,麻醉恢复更快,术中及术后不良反应少。
Citation:
XIE Binrong,HUANG Jianxin,LAN Zhixun. The Application of Laryngeal Mask Airway Combined with Sevoflurane Inhalation Anesthesia in Children undergoing Hernia Surgery. West China Medical Journal, 2009, 24(1): 96-98. doi:
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- 1. 邓晓明,罗茂平,唐耿志,等.小儿七氟醚加氧化亚氮快速吸入和常规吸入诱导的比较[J].临床麻醉学杂志,2000,16(3):147-149..
- 2. 全熊元.七氟醚在小儿外科手术的应用[J].中华麻醉学杂志,1995,15:69..
- 3. Chandrasekhar M,Rekhadevi PV,saisaja N.Evaluation of genetic damage in operating room personnel exposed to anaesthetic gases[J].Mutagenesis,2006,21(4):249-254..
- 4. 庄心良,曾因明,陈伯銮.现代麻醉学[M].第3版.人民卫生出版社,2006:956..
- 5. Raj N,Henderson KA,Hall JE,et al.Evaluation of personal,environmental and biological exposure of paediatric anaesthetists to nitrous oxide and sevoflurane[J].Anaesthesia,2003,58(7):630-636..
- 6. GuljhasN,Turkoz A,Durmus M,et al.Oral clinidine premedication does not reduce postoperative vomiting in children undergoing strabismus surgery[J].Acta Anaesthesiol Scond,2003,47(1):90-93.