摘要
Abstract
Objective To investigate clinical effect of laryngeal mask anesthesia alone and consolidated ultrasound-guided transversus abdominis plane block in high ligation of hernia sac in children so as to pro_vide a reference for clinical treatment. Methods A total of 140 children who underwent hernia sac ligation from January 2013 to January 2015 were selected. According to the digital form they were randomly divided into control group and observation group with 70 cases in each group. The patients in the control group re_ceived laryngeal mask anesthesia, while the cases in the observation group had ultrasound-guided transversus abdominis plane block combined with laryngeal mask airway anesthesia. Heart rate (HR), mean arterial pres_sure (MAP), recovery time, agitation rate and adverse reactions were compared between the two groups at dif_ferent time points. Results At the time of insertion of laryngeal mask, HR and MAP were (128.58 ± 9.11) times/min, (31.18 ± 3.24) mmHg in the observer group, which were significantly lower than those in the control group ( <0.01). At the time of removal of laryngeal mask, HR and MAP were (128.48 ± 8.94) times/min, (34.51 ± 3.95) mmHg in the observation group, which were significantly lower than those of the control group ( <0.05). The recovery time [(6.14 ± 0.98) min] and surgery time [(16.69 ± 3.05) min] were significantly shorter ( =21.479, <0.01; =5.266, <0.01), and Remifentanil dose [(99.34 ± 7.16)μg] was significantly lower in the ob_servation group than in the control group ( =25.570, <0.01). Restlessness score and agitation rate in the ob_servation group were (2.48 ± 0.35) and 8.57% respectively, which were significantly lower than those in the control group ( <0.05). The adverse reaction rate of the observation group was 5.71%, which was significantly lower than 17.14% of the control group ( <0.05). Conclusions For high ligation of hernia sac in children, laryngeal mask anesthesia combined with ultrasound-guided transversus abdominis plane anesthesia has good clinical effect, can help children to maintain stable signs with low agitation rate and low incidence of adverse reactions. Therefore, it is worthy of clinical application.关键词
喉罩/腹横肌平面阻滞/疝囊高位结扎术/麻醉Key words
laryngeal mask/transversus abdominis plane block/high ligation of hernia sac/anesthesia分类
医药卫生
