首页|艾司氯胺酮复合丙泊酚静脉麻醉对儿童腹腔镜疝修补术的麻醉效果及术后躁动的影响

艾司氯胺酮复合丙泊酚静脉麻醉对儿童腹腔镜疝修补术的麻醉效果及术后躁动的影响

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目的 分析在儿童腹腔镜疝修补术采取艾司氯胺酮复合丙泊酚静脉麻醉的效果及对躁动的影响.方法 选择2020年1月—2022年1月于北京积水潭医院贵州医院行腹腔镜疝修补术的100例患儿为研究对象,依据随机抽签法将其分为对照组和观察组,每组50例.对照组采取艾司氯胺酮全麻,观察组在对照组基础上联合丙泊酚静脉麻醉.对比两组麻醉效果,术后躁动情况及不良反应.结果 观察组自主呼吸时间、拔管时间、指令性睁眼时间、麻醉后监测治疗室停留时间均短于对照组,观察组总体术后躁动评分及术后躁动发生率均低于对照组,差异有统计学意义(P均<0.05).观察组总不良反应发生率为4.00%,低于对照组的18.00%,差异有统计学意义(χ2=5.005,P<0.05).结论 在儿童腹腔镜疝修补术予以艾司氯胺酮复合丙泊酚静脉麻醉,效果理想,利于改善术后躁动情况,降低不良反应发生率,具有较高的应用价值.
Effect of Esketamine Combined with Propofol Intravenous Anesthesia on Anesthesia and Postoperative Agitation in Children undergoing Laparo-scopic Hernia Repair
Objective To analyze the effects of esketamine combined with propofol intravenous anesthesia and agita-tion in children undergoing laparoscopic hernia repair.Methods A total of 100 children who underwent laparoscopic hernia repair in Beijing Jishuitan Hospital Guizhou Hospital from January 2020 to January 2022 were selected as the study objects and were divided into control group and observation group,with 50 cases in each group,according to ran-dom drawing method.The control group received esketamine general anesthesia,and the observation group was com-bined with propofol intravenous anesthesia on the basis of the control group.The anesthesia effect,postoperative agita-tion and adverse reactions were compared between the two groups.Results The spontaneous breathing time,extuba-tion time,mandatory eye opening time and postanedthesia care unit residence time in observation group were shorter than those in control group,and the overall postoperative agitation score and the incidence of postoperative agitation in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the observation group was 4.00%,which was lower than that in the con-trol group(18.00%),and the difference was statistically significant(χ2=5.005,P<0.05).Conclusion Intravenous anes-thesia with esketamine combined with propofol in laparoscopic hernia repair in children has an ideal effect,which is conducive to improving postoperative agitation and minimizing the incidence of adverse reactions,and has high clini-cal application value.

Esketamine combined with propofol intravenous anesthesiaLaparoscopic hernia repair in childrenAnesthetic effectPostoperative agitationIncidence of adverse reactions

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北京积水潭医院贵州医院,贵州贵阳 550007

艾司氯胺酮复合丙泊酚静脉麻醉 儿童腹腔镜疝修补术 麻醉效果 术后躁动情况 不良反应发生率

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(5)
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