摘要
Abstract
Objective To investigate the application of laryngeal mask inhalation sevoflurane anesthesia combined with sacral block accompanied by parents in children urethroplasty of hypospadias.Methods Children were divided into group A and group B,40 cases in each group.Group A was treated with laryngeal mask inhalation sevoflurane anesthesia combined with sacral block accompanied by parents,while group B was treated with ketamine anesthesia combined with sacral block.The mean arterial pressure (MAP),heart rate (HR),pulse oxygen saturation,the time of palinesthesia,the time out of operating room,body movement during surgery,bucking and breath holding,postoperative agitation,nausea and vomiting,and the degree of satisfaction of family member and medical personnel of two groups were recorded.Results Compared with group B,MAP and HR in group A were stabler (P＜0.05).The time of palinesthesia and time out of operating room in group A were shorter than those in group B [(11.5 ± 2.3)min vs.(17.6 ± 6.4)min,(17.9±1.9)min vs.(33.1 ± 3.2)min] (t=4.236,6.339; P＜0.05).The incidences of body movement during surgery and bucking and breath holding in group A were much lower than those in group B (5.0％ vs.30.0％,2.5％ vs.27.5％) (x 2=15.632,22.354; P＜0.05).The degree of satisfaction of family member in group A was higher than that in group B (100.0％ vs.85.0％; x 2=3.014,P＜0.05).Conclusion Laryngeal mask inhalation sevoflurane anesthesia combined with sacral block accompanied by parents can lead to stabler hemodynamics indexes,shorter time of palinesthesia and time out of operating room,fewer adverse reactions of anesthesia,higher degree of satisfaction of family member.关键词
喉罩/骶管麻醉/小儿尿道下裂成形术/满意度Key words
Laryngeal mask/ Sacral block/ Children urethroplasty of hypospadias/ Degree of satisfaction
