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林海波,邓海洪,邓志海,潘柳杰.七氟醚联合腹横肌神经阻滞在小儿腹股沟疝手术中的应用[J].中国医药科学,2020,(1):225-227        基金项目:
七氟醚联合腹横肌神经阻滞在小儿腹股沟疝手术中的应用
Application of sevofluran combined with transverse muscle of abdomen nerve block in inguinal hernia operation in children
  
DOI:
中文关键词:  腹股沟疝;喉罩;七氟醚;腹横肌;神经阻滞;麻醉
英文关键词:Inguinal hernia; Laryngeal mask; Sevoflurane; Transverse muscle of abdomen; Nerve block; Anesthesia
作者单位
林海波,邓海洪,邓志海,潘柳杰 广东省肇庆市第一人民医院,广东肇庆 526020 
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中文摘要:
      [摘要] 目的 研究在小儿腹股沟疝手术中应用经喉罩七氟醚吸入联合腹横肌神经阻滞的效果。 方法 回顾性分析 2017 年 8 月~ 2018 年 8 月在我院实施腹股沟疝手术 80 例患儿数据资料,随机分为对照组与试验组,对照组患儿采用喉罩吸入七氟醚复合瑞芬太尼方法,试验组患儿采用经喉罩七氟醚吸入麻醉联合腹横肌神经阻滞麻醉方法,比较两种不同方法获得的麻醉效果差异。 结果 试验组切皮后 15min 及术毕时 HR 变化明显较对照组低,差异有统计学意义(P < 0.05),在诱导时间、苏醒时间上,试验组较对照组有显著缩短,差异有统计学意义(P < 0.05),对照组患儿不良反应发生率皆高于试验组,差异有统计学意义(P < 0.05)。 结论 经喉罩七氟醚吸入麻醉联合腹横肌神经阻滞麻醉在小儿腹股沟疝手术中的应用效果极佳,术中经过平稳、麻醉恢复快、不良反应少。
英文摘要:
      [Abstract] Objective To study the effect of sevofluran inhalation by laryngeal mask combined with transverse muscle of abdomen nerve block in inguinal hernia operation in children. Methods Data of 80 children who underwent inguinal hernia operation in our hospital from August 2017 to August 2018 were retrospectively analyzed. They were randomly divided into the control group and the experimental group. Children in the control group were given sevofluran and remifentanil inhalation by laryngeal mask while children in the experimental group were given inhalation anesthesia with sevoflurane by the laryngeal mask combined with transverse muscle of abdomen nerve block anesthesia. The difference of anesthetic effect between the two methods was compared. Results The changes of HR in the experimental group were significantly lower than those in the control group in 15 minutes after skin curettage and after surgery. The difference was statistically significant (P < 0.05). The induction time and recovery time of the experimental group were significantly shortened compared with those of the control group. The difference was statistically significant (P < 0.05). The incidence of adverse reactions in the control group was higher than that in the experimental group, and the difference was statistically significant (P < 0.05). Conclusion The application of inhalation anesthesia with sevoflurane by the laryngeal mask combined with transverse muscle of abdomen nerve block anesthesia in inguinal hernia operation in children has excellent effects. During the operation, the operation is smooth. The anesthesia recovers quickly and the adverse reactions are few.
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