超声引导下腹横肌平面阻滞复合喉罩全麻在腹腔镜胆囊切除术患者中的应用

Application of Ultrasound-Guided Transversus Abdominis Plane Block Combined with Laryngeal Mask General Anesthesia in Patients Undergoing Laparoscopic Cholecystectomy

目的探讨超声引导下腹横肌平面阻滞(TAPB)复合喉罩全麻在腹腔镜胆囊切除术(LC)患者中的应用效果。方法选取2020年7月至2022年8月在我院行LC治疗的60例患者,随机分为对照组(n=30)和研究组(n=30)。对照组采用喉罩全麻,研究组采用超声引导下TAPB复合喉罩全麻。比较两组的血流动力学指标及术后VAS评分。结果T_(1)时,两组MAP、HR水平比较无统计学差异(P>0.05);T_(2)、T_(3)、T_(4)时,研究组MAP、HR水平均低于对照组(P<0.05)。术后2 h、6 h、12 h、24 h,研究组VAS评分均低于对照组(P<0.05)。结论超声引导下TAPB复合喉罩全麻应用于LC患者可获得理想的麻醉效果,有助于维持患者机体血流动力学稳定,并减轻患者术后疼痛程度,值得临床推广应用。

Objective To explore the application effect of ultrasound-guided transversus abdominis plane block(TAPB)combined with laryngeal mask general anesthesia in patients undergoing laparoscopic cholecystectomy(LC).Methods 60 patients undergoing LC in our hospital from July 2020 to August 2022 were selected and randomly divided into control group(n=30)and study group(n=30).The control group received laryngeal mask general anesthesia,and the study group received ultrasound-guided TAPB combined with laryngeal mask general anesthesia.The hemodynamic indicators and postoperative VAS score were compared between the two groups.Results At T_(1),no statistical difference was found in the MAP and HR levels between the two groups(P>0.05).At T_(2),T_(3) and T_(4),the MAP and HR levels of the study group were lower than those of the control group(P<0.05).2 h,6 h,12 h and 24 h after operation,the VAS scores of the study group were lower than those of the control group(P<0.05).Conclusions Ultrasound-guided TAPB combined with laryngeal mask general anesthesia applied in LC patients can achieve ideal anesthetic effect,which can help maintain the body hemodynamic stability and reduce postoperative pain degree,which is worthy of clinical promotion and application.