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目的观察七氟醚联合氯胺酮在小儿腹腔镜疝气修补术的临床效果。方法选取我院2012年1月~12月收治的100例疝气患儿,随机分为观察组和对照组,每组50例,观察组采用七氟醚联合氯胺酮麻醉,对照组采用静注氯胺酮麻醉。结果两组间对比发现,观察组的HR、MAP在术前、术中、术毕与对照组比较,差异有统计学意义(P<0.05);观察组不良反应发生率为14%明显低于对照组的26%,差异有统计学意义(P<0.05);观察组苏醒时间为(8.34±3.50)min明显短于对照组的(14.60±6.50)min,差异有统计学意义(P<0.05)。结论七氟醚联合氯胺酮在小儿腹腔镜疝气修补术中的应用,安全性高,副作用小,值得临床推广。
Objective To observe the clinical effect of sevoflurane combined with ketamine in pediatric laparoscopic hernia repair. Methods 100 cases of hernia admitted from January 2012 to December 2012 in our hospital were randomly divided into observation group and control group, 50 cases in each group. The observation group was anesthetized with sevoflurane and ketamine, and the control group received intravenous ketamine . Results The comparison between the two groups showed that the HR and MAP of the observation group were significantly lower than those of the control group before surgery, intraoperative and postoperatively (P <0.05). The incidence of adverse reactions in the observation group was significantly lower than 14% The difference was statistically significant (P <0.05). The recovery time of the observation group was (8.34 ± 3.50) min which was significantly shorter than that of the control group (14.60 ± 6.50) min, the difference was statistically significant (P <0.05 ). Conclusion Sevoflurane combined with ketamine in pediatric laparoscopic hernia repair has the advantages of high safety and little side effects and is worthy of clinical application.