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目的分析七氟烷在小儿腹股沟疝疝囊高位结扎术中的应用价值。方法选择南通市海安县人民医院收治的腹股沟疝患儿72例,随机均分为对照组和观察组各36例。经静脉快速麻醉诱导后,对照组和观察组分别经面罩半开放式吸入异氟烷或七氟烷维持麻醉,保持呼气末浓度为1.3MAC。观察并比较两组患儿入室后、诱导期、术毕时血压、心率、血氧饱和度等指标的差异。观察并比较两组患儿拔管时间、苏醒时间的差异。结果两组患儿三个时间点血压、心率、血氧饱和度比较,差异均无统计学意义(P>0.05);观察组患儿脱离面罩供氧时间、苏醒时间均明显短于对照组,差异有统计学意义(P<0.05)。结论七氟烷全麻应用于小儿腹股沟疝疝囊高位结扎,有良好的安全性和可行性,值得临床推广。
Objective To analyze the value of sevoflurane in the high ligation of inguinal hernia sac in children. Methods 72 cases of inguinal hernia admitted to Hai’an County People’s Hospital of Nantong City were randomly divided into control group and observation group with 36 cases each. After rapid intravenous anesthesia induction, the control group and the observation group were respectively inhaled isoflurane or sevoflurane via the mask to maintain the end-expiration concentration 1.3MAC. Observed and compared two groups of children after admission, induction, surgery, blood pressure, heart rate, oxygen saturation and other indicators of difference. Observation and comparison of two groups of children extubation time, wake time difference. Results There was no significant difference in blood pressure, heart rate and oxygen saturation between the two groups at three time points (P> 0.05). The oxygenation time and recovery time of the mask in the observation group were significantly shorter than those in the control group, The difference was statistically significant (P <0.05). Conclusion Sevoflurane anesthesia used in children with inguinal hernia sac high ligation, good safety and feasibility, worthy of clinical promotion.