Objective: To explore the effect of different anesthesia methods on heart rate and complication before and after intubation and extubation in pediatric laparoscopic surgery.Methods:85 cases of children undergoing laparoscopic surgery from September 2016 to January 2016 were selected as the subjects and, according to the different methods of anesthesia, divided into group A (laryngeal mask) and group B (sacral block compound laryngeal mask). The heart rate and the incidence of complications before and after intubation and extubation were compared.Results: The heart rate fluctuation at different time in group A was large while in group B was smooth; the heart rates at T1, T2 and T3 in group A were higher than those in group B (t=7.0509, 12.073, 13.3165, P=0.0000). The postoperative complications rate in group A was 18.60%, which was higher than that in group B (4.76 %) (χ2= 3.922, P=0.048 ).Conclusion: Sacral block compound laryngeal mask general anesthesia for pediatric laparoscopic surgery, with stable heart rate and low incidence of complications, can ensure the satisfactory effect and is worthy of popularization and application.
GE Ping
. Effect of different anesthesia methods on heart rate and complication before and after intubation and extubation in pediatric laparoscopic surgery[J]. Journal of Baotou Medical College, 2017
, 33(9)
: 56
-57
.
DOI: 10.16833/j.cnki.jbmc.2017.09.022
[1] 王宇,刘菊英,李清,等.右美托咪定对小儿腹腔镜手术麻醉恢复期躁动的影响[J].重庆医学,2014,43(35):4794-4795.
[2] 周声汉,全守波,陈宁军,等.七氟醚联合瑞芬太尼麻醉对小儿腹腔镜手术应激反应的影响[J].湖北医药学院学报,2012,31(1):22-24,28.
[3] 孟瑞霞,李宁.低流量异氟烷及七氟烷在小儿腹腔镜手术中的应用[J].中国现代医学杂志,2013,23(12):67-69.
[4] 艾贺秀.舒芬太尼和芬太尼进行小儿腹腔镜手术麻醉的临床效果观察[J].医学理论与实践,2015,28(17):2334-2335.
[5] 钟剑洪,刘妙雯,梁江惠,等.喉罩与气管插管全麻对小儿腹腔镜手术气道恢复质量影响的比较[J].广东医学,2016,37(16):2424-2425.
[6] 李立,张奉超,彭蓓,等.全身麻醉联合超声引导下腹横肌平面阻滞与联合骶管阻滞在小儿腹腔镜手术应用的比较[J].实用临床医药杂志,2015,19(11):174-175.
[7] 罗国占,周晓筠,饶祖华,等.全凭七氟醚吸入麻醉诱导、维持在小儿腹腔镜手术的应用[J].医学理论与实践,2015,28(8):1063-1064.
[8] 张艳华,刘立成,董蕤,等.右美托咪定预防小儿腹腔镜手术苏醒期躁动的影响研究[J].现代中西医结合杂志,2016,25(14):1574-1575,1596.
[9] 张玉然,张玉琴,王红国,等.无肌松药气管插管全麻用于小儿腹腔镜手术的临床观察[J].河南外科学杂志,2013,19(4):79-80.
[10] 孙庆梅,张洪波,郭永民,等.保护性通气策略联合糖皮质激素用于小儿腹腔镜手术机械通气所致肺损伤效果观察[J].山东医药,2016,56(20):12-14.