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目的探讨超声引导下腹横肌平面阻滞(TAPB)用于小儿下腹部手术术后镇痛的有效性和安全性。方法 100例单侧腹股沟斜疝修补术和鞘状突高位结扎术患者,随机分为观察组(T组)和对照组(G组),每组50例,观察组在常规麻醉手术后给予超声引导下腹横肌平面(TAP)阻滞用于术后镇痛,对照组在常规麻醉手术后则不给予超声引导下腹横肌平面阻滞,观察两组患儿术后有无恶心、呕吐、躁动等不良反应及术后对患儿镇痛评分判定镇痛效果。结果观察组术后镇痛满意度96%高于对照组50%,差异有统计学意义(P<0.05);术后对照组躁动发生率24%高于观察组4%,差异具有统计学意义(P<0.05),恶心呕吐发生率比较差无异统计学意义(P>0.05)。结论超声引导下腹横肌平面阻滞用于小儿下腹部手术术后镇痛能够提供确切的镇痛疗效,可以安全有效的用于小儿下腹部手术术后镇痛。
Objective To investigate the effectiveness and safety of ultrasound-guided transverse abdominal plane block (TAPB) for postoperative analgesia in pediatric lower abdominal surgery. Methods One hundred patients with unilateral inguinal hernia repair and high lumbar sheath ligation were randomly divided into observation group (T group) and control group (G group), 50 cases in each group. The observation group was given ultrasound after conventional anesthesia, The TAP block was used to induce postoperative analgesia. The control group was not given ultrasound-guided plaque block after routine anesthesia. The postoperative nausea, vomiting and agitation were observed in both groups And other adverse reactions and postoperative analgesia score to determine the analgesic effect. Results The satisfaction rate of postoperative analgesia in observation group was 96% higher than that in control group (P <0.05), the incidence of postoperative agitation was 24% higher than that of observation group (4%), the difference was statistically significant (P <0.05). The incidence of nausea and vomiting was not statistically significant (P> 0.05). Conclusions Ultrasound-guided transversal abdominal plaque blockade for postoperative analgesia in pediatric lower abdominal surgery can provide exact analgesic efficacy and can be used safely and effectively in the postoperative analgesia of pediatric lower abdominal surgery.