罗哌卡因骶管阻滞对小儿腹腔镜疝囊高位结扎术的影响分析

Analysis of the effect of ropivacaine caudal block on laparoscopic high ligation of hernia sac in children

目的研究罗哌卡因骶管阻滞对小儿腹腔镜疝囊高位结扎术的影响。方法选取2020年5月至11月安徽省儿童医院行腹腔镜疝囊高位结扎术患儿60例,按照随机数字表法随机分为2组,每组患儿30例。对照组患儿采用静吸复合全身麻醉,观察组患儿采用静吸复合全身麻醉联合罗哌卡因骶管阻滞。观察并比较2组患儿术后疼痛评分、镇静评分、复苏质量、麻醉诱导药物用量、并发症发生率。结果术后2、6、24 h,观察组FLACC评分显著低于对照组、镇静评分显著高于对照组,差异均有统计学意义(P<0.05);观察组拔除喉罩时间、离开恢复室时间、术前麻醉诱导丙泊酚、舒芬太尼用量均显著低于对照组,差异均有统计学意义(P<0.05);观察组总并发症发生率(6.66%)显著低于对照组(26.67%),差异均有统计学意义(P<0.05)。结论罗哌卡因骶管阻滞在小儿腹腔镜疝囊高位结扎术中具有复苏效果好,可减少全身麻醉用药,降低患儿的疼痛程度,从而减少并发症的发生,提高手术安全性。

Objective To study the effect of ropivacaine caudal block on laparoscopic high ligation of hernia sac in children.Methods The research subjects selected 60 children who underwent laparoscopic high ligation of indirect inguinal hernia in our hospital from May 2020 to November 2020,and were divided into the control group(n=30)and the observation group(n=30)according to the random number table method.The control group was given intravenous inhalation combined with general anesthesia,and the observation group was given intravenous inhalation combined with general anesthesia combined with ropivacaine caudal block.The postoperative pain scores,sedation scores,resuscitation quality,and anesthesia were observed and compared between the two groups.Induction drug dosage,complication rate.The postoperative pain score,sedation score,resuscitation quality,intraoperative anesthetic dosage,and complication rate were observed and compared between the two groups.Results At 2,6,and 24 hours after operation,the FLACC score of the observation group was significantly lower than that of the control group(P<0.05).The time of removing the laryngeal mask,the time to leave the recovery room,and the dosage of propofol and sufentanil for the control group(P<0.05);the total complication rate(6.66%)in the observation group was significantly lower than that in the control group(26.67%),and the differences were all significant(P<0.05).Conclusion Ropivacaine caudal block has a good effect on resuscitation in laparoscopic high ligation of hernia sac in children.It reduces the need for general anesthesia,makes children feel less pain,and lowers the risk of complications.