摘要
目的探讨不同麻醉方案应用于小儿腹股沟手术中对患儿手术情况、术时生命体征、术后疼痛等的影响。方法以2023年4月—2024年4月期间行腹股沟手术的60例患儿作为研究对象,病例均来自广东省高州市人民医院,采用随机数字表分为对照组与观察组,每组30例。对照组行常规气管插管全麻,观察组结合上述操作行超声引导髂腹下/髂腹股沟神经阻滞。比较两组手术一般指标、手术全程生命体征状态、术后疼痛程度、苏醒期躁动及术后不良反应发生情况。结果观察组手术大部分时间生命体征指标均较对照组稳定,观察组患儿苏醒所需时间、PACU停留时间、丙泊酚总用量、术后各时期FLACC评分均低于对照组,差异有统计学意义(P<0.05或0.001);观察组患儿苏醒期躁动及总不良反应发生率均低于对照组,差异有统计学意义(P<0.05)。结论髂腹下/髂腹股沟神经阻滞复合全麻效果明确,能够减少患儿麻醉药物使用量,缩短苏醒时间及PACU停留时间,并使患儿手术过程中生命体征更为平稳,同时对患儿造成的不良影响更小。
Objective To investigate the effects of different anesthesia schemes on surgical conditions,intraoperative vital signs,and postoperative pain in children undergoing groin surgery.Methods 60 children who underwent groin surgery from April 2023 to April 2024 were selected as research objects.All cases were selected from Gaozhou People's Hospital in Guangdong Province.They were randomly divided into control group and observation group by random number table,with 30 cases in each group.The control group underwent conventional tracheal intubation general anesthesia,and the observation group underwent ultrasound-guided iliohypogastric/ilioinguinal nerve block combined with the above-mentioned procedures.And then,the general indicators of surgeries,the status of vital signs throughout the surgery,the degree of postoperative pain,agitation during the recovery period,and the occurrence of postoperative adverse reactions were compared between the two groups.Results Most of the time,the vital signs of the observation group were more stable than those of the control group,and the observation group had less recovery time,PACU stay time,total propofol dosage,and lower FLACC scores at various postoperative stages compared to the control group,and difference was statistically significant(P<0.05 or 0.001).The incidence of emergence agitation and total adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of iliohypogastric/ilioinguinal nerve block and general anesthesia has clear effect,which can reduce the use of anesthetic drugs in children,shorten recovery time and PACU stay time,and make the vital signs of children more stable during operation,and has less adverse effects on children.
作者
梁万益
蔡静仪
梁金华
杜志斌
邓铸强
LIANG Wanyi;CAI Jingyi;LIANG Jinhua;DU Zhibin;DENG Zhuqiang(Department of Anesthesiology,Gaozhou People's Hospital,Gaozhou 525200,Guangdong,China)
出处
《右江医学》
2024年第9期816-820,共5页
Chinese Youjiang Medical Journal
基金
茂名市科技计划科研项目(2023137)。
关键词
超声引导
髂腹下/髂腹股沟神经
全麻
小儿
腹股沟手术
ultrasound guidance
iliohypogastric/ilioinguinal nerve
general anesthesia
children
groin surgery
