Archive | 2019
Comparison of anesthetic effect and blood gas influence between sevoflurane and propofol in the operation of inguinal hernia in children
Abstract
Objective \nTo compare the anesthetic effect and blood gas influence between sevoflurane (S) and propofol (P) in the operation of inguinal hernia in children. \n \n \nMethods \n52 cases of inguinal hernia in general surgery of Dongtai People s hospital from January 2016 to May 2018 were randomly divided into the SR group (26 cases) and the PR group (26 cases). All patients received selective surgery, sevoflurane and remifentanil (R) were used for maintenance of anesthesia in the SR group, while propofol and remifentanil were used for maintenance of anesthesia in the PR group. Respiratory recovery time, awakening time, blood gas analysis index, hemodynamic index and incidence of anesthesia complications were compared between the two groups. \n \n \nResults \nThere was no significant difference in the recovery time of breathing and awakening time between the two groups (P>0.05). At 10 minutes after anesthesia, the levels of PaO2, SBP, DBP and HR decreased, while the level of PCO2 increased (P 0.05). Compared with preoperative, the levels of PaO2, SBP, DBP and HR decreased at skin incision cutting and, while the level of PaCO2 increased in the two groups (P 0.05). The levels of SBP and DBP in the PR group were higher than those in the SR group (P 0.05). The incidence of restlessness in the SR group (38.46%) was higher than that in the PR group (11.54%) (P 0.05). \n \n \nConclusion \nSR and PR have certain effects on respiratory function and hemodynamics in children undergoing inguinal hernia surgery. R anesthesia has less effect on hemodynamic parameters such as SBP and DBP in children than P, but the incidence of restlessness after R anesthesia is higher. Both of them are effective drugs for pediatric anesthesia. The clinical specimens should be enlarged for further research and application. \n \n \nKey words: \nHernia, inguinal;\xa0Child;\xa0Blood gas;\xa0Hemodynamics;\xa0Complications