全麻联合超声引导下腹横肌平面阻滞与骶管阻滞在小儿腹腔镜手术中的应用对比分析

Comparative analysis of the application of general anesthesia combined with ultrasound-guided transverse abdominis plane block and sacral canal block in pediatric laparoscopic surgery

目的探究全麻联合超声引导下腹横肌平面阻滞、全麻联合骶管阻滞这两种方式在小儿腹腔镜手术中的应用效果。方法选取2021年6月-2023年5月收治的行小儿腹腔镜手术的患儿78例,随机分为两组,每组各39例,对照组给予全麻联合骶管阻滞,观察组给予全麻联合超声引导下腹横肌平面阻滞,比较两组围手术期生命体征变化情况、苏醒与清醒时间、麻醉相关不良反应发生情况、术后镇痛效果。结果观察组围手术期生命体征变化情况、苏醒与清醒时间、术后镇痛效果均优于对照组(P<0.05),两组麻醉相关不良反应发生情况无明显差异(P>0.05)。结论相比于全麻联合骶管阻滞,全麻联合超声引导下腹横肌平面阻滞的应用效果更加明显,在应用过程中不会使患儿平均动脉压、心率等生命体征指标水平的波动过大,术后苏醒时间、清醒时间均较短,同时术后镇痛效果也更加理想。

Objective To explore the application effects of general anesthesia combined with ultrasound-guided transverse abdominis plane block and general anesthesia combined with sacral canal block in pediatric laparoscopic surgery.Method 78 pediatric patients who underwent laparoscopic surgery from June 2021 to May 2023 were selected and randomly divided into two groups,with 39 cases in each group.The control group received general anesthesia combined with sacral canal block,while the observation group received general anesthesia combined with ultrasound-guided transverse abdominis plane block.The changes in perioperative vital signs,awakening and awakening time,occurrence of anesthesia related adverse reactions,and postoperative analgesic effects were compared between the two groups.Results The observation group showed better changes in perioperative vital signs,awakening and wakefulness time,and postoperative analgesic effect than the control group(P<0.05),there was no significant difference in the occurrence of anesthesia related adverse reactions between the two groups(P<0.05).Conclusion Compared with general anesthesia combined with sacral block,the application effect of general anesthesia combined with ultrasound-guided transverse abdominis plane block is more significant.During the application process,it does not cause significant fluctuations in vital signs such as mean arterial pressure and heart rate in children.The postoperative recovery time and wakefulness time are shorter.At the same time,the postoperative analgesic effect is also more ideal.