摘要
目的探讨非插管静吸复合全麻在小儿腹股沟斜疝腹腔镜手术中的有效性和安全性。方法 60例行小儿单侧腹股沟斜疝腹腔镜手术患儿,随机分为全麻插管组(A组27例)和非插管静吸复合全麻组(B组33例),观察手术时间、清醒时间,连续监测MAP、HR、SpO2、PetCO2。结果两组患者手术时间(min)差异无显著性(P>0.05);两组患者苏醒时间(min)B组短于A组,组间比较差异有显著性(P<0.05),两组患儿气腹后的MAP、HR、PetCO2均较气腹前显著升高(P<0.05),A组和B组间比较差异无显著性(P>0.05)。结论插管和未插管静吸复合全麻用于小儿腹股沟斜疝腹腔镜手术均是安全有效的,但未插管静吸复合全麻适用于手术时间短的腹腔镜手术,在手术时间>1h的手术,以气管插管控制呼吸为宜。
Objective To investigate the effectiveness and safety of combinded intravenous and inhalationa anesthesia without tracheal intubation in laparoscopic operation for pediatric indirect inguinal hernia.Methods Sixty children undergoing laparoscopic operation for indirect inguinal hernia were randomly assigned into two groups,receiving either regular general anesthesia with tracheal intubation（group A,n=30）,or combinded intravenous and inhalational anesthesia without tracheal intubation（group B,n=30）.Vital signs including MAP,HR,SpO2,PetCO2 were continuously monitored.Operation time,awakening time were recorded as well.Results There were no significant difference between two groups in operation time（P0.05）.Awakening time in group B was statistically shorter than that of group A（P0.05）.After pneumoperitoneum,MAP,HR,PetCO2 became significantly higher than baseline（P0.05）.But there was no difference between two groups in these vital parameters above（P0.05）.Conclusion Comparing to regular general anesthesia with tracheal intubation,combinded intravenous and inhalational anesthesia without tracheal intubation are also safe and effective in laparoscopic operation for pediatric indirect inguinal hernia.
出处
《岭南现代临床外科》
2010年第5期378-379,382,共3页
Lingnan Modern Clinics in Surgery
关键词
全麻醉
小儿麻醉
腹腔镜手术
腹股沟斜疝
General anesthesia
Pediatric anesthesia
Laparoscopic operation
Indirect inguinal hernia
