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目的:探讨学龄前儿童腹股沟斜疝手术治疗中不同麻醉方法的效果。方法:选取我院2008年1月～2010年12月择期行腹沟斜疝手术治疗的小儿90例,将其平均分为3组,采取不同的麻醉方式。结果:3组患儿的手术时间相比,无显著性差异(P>0.05);A组、B组的术后清醒时间相比C组显著缩短(P<0.05),氯胺酮与丙泊酚用量相比C组显著减少(P<0.05);A组与B组术后清醒时间、丙泊酚与氯胺酮用量相比无显著性差异(P>0.05)。A组、B组患儿躁动评分、躁动发生率、躁动持续时间相比C组均明显减少(P<0.05),A、B两组相比无显著差异(P>0.05)。3组患儿的不良反应发生率无显著性差异(P>0.05)。讨论:3种麻醉方式均可成功应用于儿童腹股沟疝手术,而泵注联合神经阻滞、局部麻醉或骶管麻醉联合持续泵注麻醉的方式效果更好,安全性更高,麻醉药物用量也更低。
Objective: To investigate the effect of different anesthesia in surgical treatment of indirect inguinal hernia in preschool children. Methods: Totally 90 children undergoing surgical treatment of indirect hernia in our hospital from January 2008 to December 2010 were randomly divided into 3 groups, and different anesthesia was used. Results: There was no significant difference in operative time between the three groups (P> 0.05). The awake time of group A and group B was significantly shorter than that of group C (P <0.05), and ketamine and propofol (P <0.05). There was no significant difference between propofol and ketamine in group A and group B after awake (P> 0.05). The scores of agitation, the incidence of agitation and duration of agitation in group A and group B were significantly lower than those in group C (P <0.05). There was no significant difference between group A and group B (P> 0.05). There was no significant difference in adverse reactions between the three groups (P> 0.05). Discussion: Three kinds of anesthesia can be successfully applied to children with inguinal hernia surgery, and pump injection combined with nerve block, local anesthesia or caudal anesthesia combined with continuous pump anesthesia, the effect is better, safer, narcotic drugs consumption Lower.