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目的探讨气管插管与非气管插管全麻用于小儿腹腔镜下疝修补术的可行性及安全性。方法拟行择期腹腔镜下疝修补术的小儿患者40例,随机分为气管插管全麻组(I组,n=20),非气管插管静脉全麻组(II组,n=20)。组给予异丙酚、氯胺酮和阿曲库铵维持麻醉,气管插管控制呼吸。II组采用异丙酚和氯胺酮全凭静脉麻醉,术中面罩给氧,保持自主呼吸。结果术中两组生命体征平稳,术后躁动、恶心、呕吐发生率差异无统计学意义。II组麻醉诱导快,术后清醒略快于I组,I组麻醉效果较II组满意。结论气管插管与非气管插管全麻用于腹腔镜下小儿疝修补术是安全可行的,I组麻醉效果好于II组。
Objective To investigate the feasibility and safety of endotracheal intubation and non-tracheal intubation general anesthesia for pediatric laparoscopic hernia repair. Methods 40 cases of pediatric patients scheduled for elective laparoscopic hernia repair were randomly divided into general anesthesia group (group I, n = 20), non-tracheal intubation group (group II, n = 20) . Group given propofol, ketamine and atracurium to maintain anesthesia, intubation control of breathing. Group II with propofol and ketamine by intravenous anesthesia, intraoperative oxygen mask, to maintain spontaneous breathing. Results The two groups of patients had stable vital signs and no significant differences in postoperative agitation, nausea and vomiting. The induction of anesthesia in group II was faster and the awakeness was slightly faster in group I than in group II. The anesthesia in group I was more satisfactory than that in group II. Conclusion Tracheal intubation and non-tracheal intubation general anesthesia for laparoscopic pediatric hernia repair is safe and feasible, I group anesthesia better than the II group.