超声引导下双侧腹横肌平面神经阻滞联合全身麻醉在腹腔镜下疝修补术中的应用效果观察

The Effect of Ultrasound Assisted Bilateral Transverse Abdominal Muscle Nerve Block Combined with General Anesthesia in Laparoscopic Hernia Repair Surgery

目的:探讨超声引导双侧腹横肌平面神经阻滞联合全身麻醉在腹腔镜下疝修补术中的效果。方法:选取择期行腹腔镜下疝修补术的患者60例,随机分为对照组和观察组各30例,对照组术中采用全身麻醉法,观察组采用全麻+超声引导下双侧腹横肌平面阻滞的麻醉方法。结果:手术结束时,两组患者MAP与HR无明显差异(P>0.05);麻醉结束时,观察组MAP与HR水平低于对照组(P<0.05);术后2h、4h、12h、24h,观察组NRS疼痛评分均低于对照组(P<0.05)、BCS舒适评分高于对照组(P<0.05);观察组意识苏醒、自主呼吸恢复与拔管时间短于对照组(P<0.05)。结论:对进行腹腔镜下疝修补术的患者,采用超声引导双侧腹横肌平面神经阻滞联合全身麻醉效果明显。

Objective:To investigate the effect of combined use of ultrasound assisted bilateral transverse abdominal nerve block and total injection anesthesia in laparoscopic hernia repair.Methods:60 patients who underwent elective laparoscopic hernia repair surgery were randomly divided into a control group and an observation group,with 30 patients in each group.The control group received general anesthesia during surgery,while the observation group received general anesthesia combined with ultrasound-guided bilateral transversus abdominis plane block.Results:At the end of the surgery,there was no significant difference in MAP and HR between the two groups of patients(P>0.05);At the end of anesthesia,the MAP and HR levels in the observation group were lower than those in the control group(P<0.05);At 2,4,12,and 24 hours after surgery,the NRS pain score in the observation group was lower than that in the control group(P<0.05),and the BCS comfort score was higher than that in the control group(P<0.05);The observation group had shorter awakening time,spontaneous breathing recovery time,and extubation time than the control group(P<0.05).Conclusion:For patients undergoing laparoscopic hernia repair,the use of ultrasound guided bilateral transverse abdominal muscle plane nerve block combined with general anesthesia has a significant effect.