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OA

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 T1,no statistical difference was found in the MAP and HR levels between the two groups(P＞0.05).At T2,T3 and T4,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.