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目的:分析喉罩七氟醚吸入麻醉用于小儿疝修补手术的临床效果。方法:选取行择期疝修补手术的患儿94例,其中行40例归为对照组,另54例患儿行喉罩七氟醚吸入麻醉归为观察组,比较其临床效果。结果:观察组患儿T0、T1、T2时的HR、MAP无明显变化,P>0.05,差异无统计学意义。对照组患儿T1、T2时的HR、MAP较T0时明显升高,且明显高于对应时间点的观察组,P<0.05,差异具有统计学意义。观察组患儿的体动和睁眼时间、完全苏醒时间明显短于对照组,躁动、恶心发生率明显低于对照组,P<0.05,差异具有统计学意义。结论:小儿疝修补手术中行喉罩七氟醚吸入麻醉可保持患儿心率、平均动脉压平稳,麻醉效果好,不良反应少,值得推广应用。
Objective: To analyze the clinical effect of laryngeal mask sevoflurane inhalation anesthesia for pediatric hernia repair surgery. Methods: Ninety-four children undergoing elective hernia repair surgery were enrolled. Among them, 40 cases were classified as control group, and the other 54 cases were treated by laryngeal mask sevoflurane inhalation anesthesia as observation group. The clinical effect was compared. Results: There was no significant change in HR and MAP at T0, T1 and T2 in observation group (P> 0.05), but the difference was not statistically significant. The HR and MAP of T1 and T2 in control group were significantly higher than those at T0, and significantly higher than those in observation group at corresponding time points (P <0.05). The difference was statistically significant. The body movement and the time of open eyes in the observation group were significantly shorter than those in the control group. The incidence of agitation and nausea was significantly lower than that of the control group (P <0.05). The difference was statistically significant. CONCLUSION: Laryngeal mask sevoflurane inhalation anesthesia during pediatric hernia repair can keep heart rate, mean arterial pressure stable, good anesthetic effect and few adverse reactions. It is worth popularizing and applying.