Clinical observation of laryngeal mask airway inhalation sevoflurane anesthesia for pediatric hernia surgery
10.3760/cma.j.issn.1008-6706.2018.23.003
- VernacularTitle:经喉罩通气吸入七氟烷用于小儿疝手术麻醉的效果观察
- Author:
Li ZHOU
1
;
Guoyong XU
;
Haotian SUN
Author Information
1. 武警浙江省总队嘉兴医院麻醉科
- Keywords:
Herniorrhaphy;
Anesthesia,inhalation;
Sevoflurane
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(23):3002-3004
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and analyze the clinical effect of laryngeal mask airway inhalation anesthe-sia with sevoflurane on pediatric colic surgery.Methods From July 2014 to November 2016,92 cases with pediatric hernia in Jiaxing Hospital of Zhejiang Corps of Armed Police Force were randomly divided into study group and control group according to the digital table ,with 46 patients in each group.All patients were selected according to the specific circumstances given hernia surgery ,sevoflurane inhalation anesthesia with laryngeal mask airway in the study group in the operation,the control group was given tracheal intubation anesthesia.The changes of vital signs ,the anesthesia effect and treatment satisfaction etc.were observed and analyzed.Results All the patients were treated by surgery , the heart rate (HR) and mean arterial pressure(MAP) changes in the study group were significantly better than those in the control group(all P＜0.05).The eye opening time and awake time in the study group were (7.28 ±1.07)min, (12.96 ±1.38 ) min, respectively, which were significantly better than those in the control group [ ( 13.02 ± 1.75)min,(21.13 ±2.82)min] (t＝18.979,P＝0.001;t＝17.649,P＝0.001).The total satisfaction rate of the study group was 97.83%,which was significantly higher than 82.61%of the control group (χ2＝13.126＝0.002). Conclusion The application of laryngeal surgery in children with hernia in mask ventilation of sevoflurane anesthe -sia,has good anesthetic effect ,it has less influence on hemodynamics in children ,and rapid postoperative recovery.
