Application of single lumbar anesthesia combined with intravenous general anesthesia in pediatric penile correction surgery
Objective:To explore the application value of single lumbar anesthesia combined with intravenous general anesthesia in pediatric penile correction surgery.Methods:Fifty pediatric patients who underwent penile correction surgery from January 2022 to October 2023 were collected and according to the random number table method were divided into a control group and an observation group with 25 cases in each group.After completing preoperative preparation,two groups of patients underwent penile correction surgery,the control group received intravenous general anesthesia,while the observation group received single lumbar anesthesia combined with intravenous general anesthesia.The anesthesia and analgesic effects,changes in vital signs at different times,total dosage of fentanyl and propofol,analgesic time,postoperative recovery time,and incidence of anesthesia related adverse reactions between two groups of pediatric patients were compared.Results:The excellent rate of anesthesia and analgesia in the observation group was 96.00%(24/25),which was higher than 76.00%(19/25)in the control group(P<0.05).The time of skin incision(T1),10 minutes after surgery beginning(T2),and at the end of surgery(T3),mean arterial pressure(MAP)and heart rate(HR)levels in the observation group were lower than those in the control group,and the difference between groups was statistically significant(P<0.05).The total dosage of fentanyl and propofol in the observation group was lower than that in the control group,the analgesic time was longer than that in the control group,the postoperative recovery time was shorter than that in the control group,and the difference between groups was statistically significant(P<0.05).The total incidence of anesthesia related adverse reactions in the observation group was 4.00%(1/25),which was lower than 24.00%(6/25)in the control group(P<0.05).Conclusion;Single lumbar anesthesia combined with intravenous general anesthesia has a good anesthetic and analgesic effect in pediatric penile correction surgery,with little impact on the vital signs of the patients,and it is beneficial for reducing the dosage of intravenous general anesthesia drugs,improving the quality of awakening,which has good safety and is worthy of clinical recommendation.
genital malformationpenile correction surgerysingle lumbar anesthesiaanesthetic and analgesic effect
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