超声引导下精准骶管阻滞在小儿腹股沟嵌顿疝术中的临床应用效果

Clinical application effect of ultrasound-guided precision caudal block in children with inguinal strangulated hernia

目的探讨超声引导下精准骶管阻滞在小儿腹股沟嵌顿疝术中的临床应用效果。方法选取2019年2月—2020年8月江西省九江市妇幼保健院收治的60例行腹股沟嵌顿疝术的患儿作为研究对象,采用随机数字表法分为对照组(30例)与研究组(30例)。所有患儿均采用腹股沟嵌顿疝术治疗,并实施经喉罩七氟醚吸入麻醉复合骶管阻滞干预,对照组采用传统骶管阻滞,研究组采用超声引导下精准骶管阻滞。比较两组穿刺情况、生命体征、不良事件及并发症发生情况。结果研究组穿刺时间短于对照组,穿刺次数少于对照组,第一次穿刺成功率高于对照组,差异有统计学意义(P<0.05)。麻醉诱导后和手术结束时,两组患儿的心率、血压组间和组内比较,差异无统计学意义(P>0.05)。两组的不良事件及并发症发生率比较,差异无统计学意义(P>0.05)。结论小儿腹股沟嵌顿疝术采用超声引导下精准骶管阻滞有较好麻醉效果,可缩短穿刺时间,提高穿刺成功率,减少穿刺次数,并未增加不良事件及并发症发生率,安全性高。

Objective To explore the clinical application effect of ultrasound-guided precision sacral canal block in children with inguinal strangulated hernia.Methods A total of 60 children with inguinal strangulated hernia admitted to Jiujiang Maternal and Child Health Hospital from February 2019 to August 2020 were selected as the research objects and divided into the control group(30 cases)and the study group(30 cases)according to the random table method.All of the children were treated with inguinal strangulated hernia,and interposed with the anesthesia of Sevoflurane under laryngeal mask ventilation combined with caudal block.The control group was given the traditional caudal block,and the study group was given ultrasound-guided precision caudal block.The puncture status,vital signs,adverse events and complications of the two groups were compared.Results The puncture time of the study group was shorter than that of the control group,the number of punctures was fewer than that of the control group,the first puncture success rate was higher than that of the control group,and the differences were statistically significant(P<0.05).After induction of anesthesia and at the end of the operation,there were no significant differences in heart rate and blood pressure between the two groups or within the groups(P>0.05).There were no statistically significant differences in the incidence of adverse events and complications between the two groups(P>0.05).Conclusion The use of ultrasound-guided precision sacral canal block for pediatric incarcerated hernia has a good anesthesia effect,which can shorten the puncture time,increase the success rate of puncture,reduce the number of punctures,and does not increase the incidence of adverse events and complications,and has high safety.