The clinical value of ketamine and propofol combined with lidocaine for anesthesia in children undergoing indirect inguinal hernia surgery
Objective To explore the clinical value of ketamine and propofol combined with lidocaine for anesthesia in children undergoing indirect inguinal hernia surgery.Methods A total of 80 children who underwent laparoscopic herniorrhaphy due to indirect inguinal hernia were included in this study.The selected cases were divided into a control group and a study group using a random number table method,with 40 cases in each group.The control group was anesthetized with ketamine,while the study group was anesthetized with ketamine,propofol and lidocaine.Comparison was made on anesthesia effect,intraoperative vital signs,postoperative anesthesia recovery time,incidence of adverse reactions during recovery from general anesthesia,and cognitive function score between the two groups.Results The anesthesia excellence rate of 100.00%in the study group was higher than 87.50%in the control group(P<0.05).Before induction of anesthesia,the mean arterial pressure and heart rate of the control group were(96.42±2.43)mm Hg(1 mm Hg=0.133 kPa)and(101.24±3.58)beats/min,and those of the study group were(96.31±2.36)mm Hg and(101.15±3.50)beats/min.1 min after intubation,the mean arterial pressure and heart rate of the control group were(102.98±3.09)mm Hg and(109.45±3.39)beats/min,and those of the study group were(96.75±2.27)mm Hg and(101.68±3.12)beats/min.1 min after intubation,the mean arterial pressure and heart rate in the study group were not statistically significant when compared with those before induction of anesthesia(P>0.05),while the mean arterial pressure and heart rate in the control group were significantly higher than those before induction of anesthesia(P<0.05).The mean arterial pressure and heart rate in the study group were lower than those in the control group 1 min after intubation(P<0.05).In the study group,the spontaneous breathing recovery time was(7.89±2.82)min,the eye opening time was(9.04±2.45)min and the command recovery time was(16.85±3.10)min,which were shorter than(12.65±3.49),(13.91±3.57)and(21.42±3.37)min in the control group(P<0.05).The incidence of adverse reactions during recovery from general anesthesia in the study group was lower than that in the control group(P<0.05).Before surgery,the scores of mini-mental state examination(MMSE)and Montreal cognitive assessment scale(MoCA)were(26.65±2.74)and(26.98±2.65)points in the control group,and(26.41±2.86)and(26.75±2.70)points in the study group.After surgery,MMSE and MoCA scores were(20.38±1.79)and(21.02±1.53)points in the control group,and(23.15±2.03)and(23.59±1.94)points in the study group.After surgery,MMSE and MoCA scores in both groups were lower than those before surgery,but MMSE and MoCA scores of the study group were higher than those of the control group(P<0.05).Conclusion In children undergoing indirect inguinal hernia surgery,the application of ketamine,propofol,and lidocaine can not only enhance the surgical anesthesia effect of children,maintain stable vital signs during surgery,but also accelerate postoperative recovery,reduce cognitive impairment,reduce adverse reactions during recovery from general anesthesia,and have both anesthesia effectiveness and safety.
Inguinal hernia surgeryLaparoscopic herniorrhaphyTracheal intubation general anesthesiaKetaminePropofolLidocaineChildren
万方数据
维普
