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目的探讨七氟醚吸入联合骶管麻醉和单纯七氟醚吸入麻醉在小儿下腹部手术中的应用,并进行效果分析。方法收集下腹部手术患儿60例资料,将患儿随机分为观察组和对照组,每组各30例。观察组应用七氟醚联合骶管麻醉,对照组应用七氟醚麻醉,对患儿入室时、诱导后、切皮时、手术结束时的平均动脉压(MAP)、心率(HR)、术毕苏醒时间及术后躁动、恶心、呕吐等的发生率进行对比观察。结果麻醉后观察组各时间点MAP,HR均低于对照组,差异均具有统计学意义(P<0.05)。观察组术毕苏醒时间及术后躁动的发生率均低于对照组,差异有统计学意义(P<0.05)。观察组与对照组术后恶心、呕吐的发生率无明显差别,差异无统计学意义(P>0.05)。结论小儿下腹部手术七氟醚联合骶管麻醉安全有效,优势明显,可推广使用。
Objective To investigate the application of sevoflurane inhalation combined with caudal anesthesia and simple sevoflurane inhalation anesthesia in pediatric lower abdominal surgery and to analyze the effect. Methods Sixty children with lower abdominal surgery were collected. The children were randomly divided into observation group and control group, with 30 cases in each group. The observation group was treated with sevoflurane combined with caudal anesthesia. The control group was anesthetized with sevoflurane. The mean arterial pressure (MAP) and heart rate (HR) at the time of entry, induction, Recovery time and postoperative agitation, nausea, vomiting, etc. The incidence of comparative observation. Results After anesthesia, MAP and HR in observation group were lower than those in control group at each time point, the differences were statistically significant (P <0.05). The awakening time and postoperative agitation rate in the observation group were lower than those in the control group, the difference was statistically significant (P <0.05). There was no significant difference in the incidence of postoperative nausea and vomiting between the observation group and the control group, with no significant difference (P> 0.05). Conclusion Pediatric lower abdominal surgery sevoflurane combined with caudal anesthesia is safe and effective, with obvious advantages and can be widely used.