Application of caudal block combined anesthesia with sevoflurane in pediatric hernia / 中国基层医药

ABSTRACT

Objective To investigate the clinical application of caudal block combined anesthesia with sevoflurane in pediatric hernia.Methods 102 patients were randomly divided into three groupscaudal block combined with sevoflurane (A group),caudal block combined with isoflurane and sevoflurane combined with ketamine.HR,MAP,SpO2,anaesthetic effect,the recovery time,the awake time and the adverse reaction were observed.Results The HR,MAP,SpO2 in A and B group had no significant difference before and after anesthesia (P ＞ 0.05).The HR,MAP,SpO2 in C group had statistically significant difference before and after anesthesia(t =10.121,6.681,4.469,all P ＜ 0.05).Compared with A and B group,the recovery time and the awake time in C group were longer significantly(t =8.240,11.693,all P ＜0.05).Compared with B group,the recovery time and the awake time in A group had no statistically significant difference(P ＞ 0.05).Compared with C group,the adverse reaction in A group had no statistically significant difference (P ＞ 0.05).Compared with B group,the adverse reaction in A group had statistically significant difference (x2 =3.923,P ＜ 0.05).Conclusion The caudal block combined anesthesia with sevoflurane in pediatric hernia has a good effect and security.