喉罩七氟醚吸入在小儿疝气手术麻醉中的应用效果观察
Observation on the Application Effect of Laryngeal Mask Sevoflurane Inhalation in Anesthesia for Pediatric Hernia Surgery
陈建城1
作者信息
- 1. 354300 福建南平,武夷山市中医院麻醉科
- 折叠
摘要
目的 通过比对的方式,观察分析喉罩(Laryngeal Mask Airway,LMA)七氟醚吸入应用于小儿疝气手术麻醉治疗期间的效果.方法 从武夷山市中医院小儿外科于2022年8月至2023年7月收治的疝气手术患儿中选取80例,采用随机数表法,将80例患儿分为观察组与对照组,每组各40例.对照组患儿采用气管插管麻醉,并给予患儿半封闭面罩吸氧,观察组患儿采用喉罩七氟醚吸入方案,两组患儿使用的麻醉引导药物均为丙泊酚,麻醉维持药物为七氟醚.对比两组患儿的麻醉效果,即在麻醉诱导前、插管或插入喉罩、手术结束、拔管或拆除喉罩4个时间点,比对两组患儿的心率、平均动脉压两项指标,以及两组患儿不良反应发生率,不同时期麻醉深度脑电双频指数(Bispect Ral Index,BIS)的评估结果,手术期间血氧饱和度及二氧化碳水平.结果 在麻醉诱导前,两组患儿心率、平均动脉压水平均相对较低且无差异(P＞0.05);插管或插入喉罩、手术结束、拔管或拆除喉罩3个时间点,观察组患儿相较于麻醉诱导前,心率和平均动脉压整体平稳,波动幅度较小;对照组患儿均有较大波动并超过观察组患儿(P＜0.05).观察组患儿不良反应总发生率为5.00％,低于对照组的30.00％(P＜0.05).麻醉诱导前,两组患儿BIS评分均超过80分,差异不具有统计学意义(P＞0.05);插管或插入喉罩、手术结束、拔管或拆除喉罩期间,观察组BIS评分均低于对照组(P＜0.05).手术期间,观察组血氧饱和度水平高于对照组,二氧化碳水平低于对照组(P＜0.05).结论 小儿疝气手术期间,采用喉罩七氟醚吸入麻醉方案,患儿在手术全过程内,心率及平均动脉压两项应激指标水平整体较为平稳,未出现较大波动,且患儿出现不良反应的概率较低,表明此种方案具有较高的安全性,临床应用价值较高.
Abstract
Objective To observe and analyze the effect of Sevoflurane inhalation via Laryngeal Mask Airway(LMA)during anesthesia treatment for pediatric hernia surgery through comparison.Methods 80 pediatric hernia patients in this group(admitted between August 2022 and July 2023)were evenly divided into the control group and the observation group with 40 cases in each group.The control group received tracheal intubation anesthesia and semi closed face mask oxygen inhalation,while the observation group received a laryngeal mask sevoflurane inhalation regimen.Both groups used propofol as the guiding anesthetic and sevoflurane as the maintenance anesthetic.We compared the anesthesia effects of two groups of children,namely before anesthesia induction,during intubation or insertion of a laryngeal mask,at the end of surgery,and at the time of extubation or removal of the laryngeal mask.The heart rate,mean arterial pressure,incidence of adverse reactions,BIS evaluation results of anesthesia depth at different periods,and blood oxygen saturation and carbon dioxide levels during surgery of the two groups of patients were compared.Results Before anesthesia induction,the heart rate and average arterial water pressure of the two groups of children were relatively low and had no difference(P＞0.05).At three time points:intubation or insertion of laryngeal mask,end of surgery,extubation or removal of laryngeal mask,the heart rate and mean arterial pressure of the observation group children were generally stable compared to before anesthesia induction,with small fluctuations.The control group had significant fluctuations in heart rate and mean arterial pressure levels,both of which were more unstable than those in the observation group(P＜0.05).The total incidence of adverse reactions in the observation group was 5.00％,lower than the control group's 30.00％(P＜0.05).Before anesthesia induction,the BIS scores of both groups of children exceeded 80 points,and the difference was not statistically significant(P＞0.05);During intubation or insertion of the laryngeal mask,surgery completion,extubation or removal of the laryngeal mask,the BIS score of the observation group was lower than that of the control group(P＜0.05).During the surgery,the blood oxygen saturation level in the observation group was higher than that in the control group,and the carbon dioxide level was lower than that in the control group(P＜0.05).Conclusion During pediatric hernia surgery,the use of laryngeal mask sevoflurane inhalation anesthesia scheme resulted in overall stable levels of heart rate and mean arterial pressure stress indicators throughout the surgery,without significant fluctuations.Additionally,the probability of adverse reactions was low,indicating that this scheme has high safety and clinical application value.
关键词
手术后并发症/麻醉/应激障碍,创伤后Key words
postoperative complications/anesthesia/stress disorders,post-traumatic引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据