Comparison of the effects of two anesthetic methods on laparoscopic surgery in children
10.3760/cma.j.issn.1008-6706.2020.03.002
- VernacularTitle: 两种麻醉方式用于小儿腹腔镜手术的效果比较
- Author:
Huimin ZHENG
1
Author Information
1. Department of Anesthesiology, the Affiliated Hospital of Medical College of Ningbo University, Ningbo, Zhejiang 315020, China
- Publication Type:Journal Article
- Keywords:
Anesthesis, general;
Anesthesis, intravenous;
Laparoscopes;
Stress response;
Hemodynamics;
Efficacy;
Safety;
Child
- From:
Chinese Journal of Primary Medicine and Pharmacy
2020;27(3):263-266
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effects of two anesthetic schemes on pediatric laparoscopic surgery, and the influence on stress response and hemodynamics.
Methods:From November 2016 to November 2017, 100 children underwent laparoscopic surgery in the Affiliated Hospital of Medical College of Ningbo University were selected and divided into two groups by odd even number of beds, with 50 cases in each group.The control group was treated with general anesthesia.The observation group received total intravenous anesthesia with remifentanil and propofol.The anesthesia effect, stress response and hemodynamic indexes were compared between the two groups.
Results:The postoperative waking time[(31.48 ±4.19)min], the time of disappearance of mascara reflex[(2.32±1.62)min], the recovery time of spontaneous respiration [(1.96±1.45)min], the incidence of adverse reactions[4.00%(2/50)], Ramsay score[(3.69±0.43)points], VAS score[(1.96±1.42)points], immediate Ramsay score[(2.11±0.82)points] and immediate VAS score[(2.31±0.43)points] in the observation group were better than those in the control group (t=15.623, 1.436, 5.436, χ2=5.432, t=1.187, 1.528, 2.136, 2.431, all P<0.05). At different time points, the MAP, HR and stress response(cortisol, blood glucose, PaO2, MAP) in the observation group were better than those in the control group(all P<0.05).
Conclusion:General anesthesia has higher risk in children undergoing laparoscopic surgery and can prolong the time of conscious consciousness.Remifentanil combined with propofol, total intravenous anesthesia can stabilize hemodynamics, improve the safety of anesthesia and alleviate stress reaction in children undergoing laparoscopic surgery.
