超快通道麻醉在小儿腹腔镜疝气手术中的应用.doc

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1、超快通道麻醉在小儿腹腔镜疝气手术中的应用　　【摘要】目的观察超快通道麻醉方法应用于小儿腹腔镜疝气手术的安全性和有效性。方法60例拟在腹腔镜下行疝气手术的患儿作为研究对象，随机分为超快通道麻醉组和常规麻醉组，每组30例。U组患儿采用喉罩全身麻醉，术中吸入七氟醚维持麻醉；G组患儿采用气管插管麻醉，术中持续泵注丙泊酚、瑞芬太尼维持麻醉。两组机械通气采用压力控制通气模式，观察两组患儿插入喉罩或气管导管前、插入喉罩或气管导管后1min、拔出喉罩或气管导管后1min时的血压、心率、脉搏氧饱和度，并对比两组的手术时间、术毕至拔管时间、麻醉复苏室

2、停留时间。结果与T1时比较，T2时G组HR、BP均显著增加，差异均有统计学意义；G组T2时HR和BP均高于U组，差异均有统计学意义。两组手术时间比较差异无统计学意义；U组术毕至拔管时间min、PACU停留时间min均短于G组的、min，差��均有统计学意义。结论超快通道麻醉是一种安全、有效的可以用于小儿腹腔镜疝气手术的麻醉方法，能够缩短复苏时间，减少住院时间，值得在临床广泛推广应用。　　【关键词】超快通道麻醉；小儿疝气；腹腔镜手术　　DOI：10.14163/j.cnki.11-5547/r.2017.17.019　　Applic

3、ationofultra-fasttrackanesthesiainpediatriclaparoscopicherniaoperationGUOXin，HOUZhi-qi.GuangdongHuizhouCityCentralPeople’sHospital，Huizhou516001，China　　【Abstract】ObjectiveToobservethesafetyandefficacyofultra-fasttrackanesthesiaappliedinpediatriclaparoscopicherniaopera

4、tion.MethodsAtotalof60childrenwithlaparoscopicherniaoperationasstudysubjectswererandomlydividedintoultra-fasttrackanesthesiagroupandgeneralanesthesiagroup，with30casesineachgroup.GroupUreceivedgeneralanesthesiabylaryngealmaskandsevofluraneinhalationduringoperationforan

5、esthesiamaintenance，andgroupGreceivedtrachealintubationanaesthesiaandpropofolandfentanylbypumpcastingduringoperationforanesthesiamaintenance.Bothgroupsreceivedmechanicalventilationinpressurecontrolledventilationmode.Observationweremadeonbloodpressure，heartrate，oxygens

6、aturationbeforeinsertinglaryngealmaskorendotrachealtube，1minafterinsertinglaryngealmaskorendotrachealtube，1minafterextubationoflaryngealmaskorendotrachealtube，andcomparisonweremadeonoperationtime，postoperativeextubationtime，andpostanesthesiacareunitdurationtimeintwogr

7、oups.ResultsComparedwithT1，groupGhadsignificantlyincreasedHRandBPatT2，andthedifferencehadstatisticalsignificance.GroupGhadhigherHRandBPatT2thangroupU，andthedifferencehadstatisticalsignificance.Bothgroupshadnostatisticallysignificantdifferenceinoperationtime.GroupUhads

8、horterpostoperativeextubationtimeasminandPACUdurationtimeasminthanandminingroupG，andtheirdifferencehadstatisticalsignificanc