骶管阻滞复合七氟醚吸入全麻与氯胺酮静脉全麻在小儿腹股沟疝手术中的比较

摘要

Objective:To compare the anesthetic effect and safety of caudal block combined with sevoflurane inhalation anesthesia and ketamine intravenous anesthesia in patients with pediatric inguinal hernia operation.Methods:40 children with inguinal hernia surgery were selected,they were randomly divided into the two groups.Patients in the observation group in the sevoflurane inhalation of 8% after entering the operation room,and made sacral block after sleep.Patients in the control group were intravenously injected with ketamine after entering the operation room,we observed the effect of anesthesia in the two groups. Results:The number of additional drugs over 2 times in the observation group was significantly less than that in the control group, the recovery time was significantly shorter than that of the control group(P<0.01).The DBP,HR and SBP in the observation group were more stable than those in the control group at each time point of T1 to T6(P<0.05).Conclusion:Sacral block combined with sevoflurane inhalation anesthesia can be safely used in pediatric inguinal hernia operation,the recovery of postoperative was faster and the hemodynamics was more stable than ketamine anesthesia.%目的:比较小儿骶管阻滞复合七氟醚吸入全麻与氯胺酮静脉全麻在小儿腹股沟疝手术中的麻醉效果和安全性.方法:收治拟行腹股沟疝手术患儿40例,随机平分为两组.观察组患儿入室后吸入8%的七氟醚,入睡后行骶管阻滞.对照组患儿入室后静脉注射氯胺酮,观察两组麻醉效果.结果:观察组追加药物>2 次的例数明显少于对照组,术后苏醒时间明显比对照组缩短(P<0.01),观察组用药后在 T1~T6 各时间点 SBP、DBP、HR 比对照组更平稳(P<0.05).结论:骶管阻滞复合七氟醚吸入全麻可安全用于小儿腹股沟疝手术,术后苏醒较氯胺酮全麻快、术中血流动力学更平稳.