Evaluation of analgestic effect by laparoscopic guided preperitoneal space block in laparoscopic high liga-tion of hernia sac in children
Objective To explore the effect of laparoscopic guided preperitoneal space block(LSgPSB)in laparoscopic high ligation of hernia sac in children.Method 33 children with inguinal hernia were recruited,they were treated with 0.2%ropivacaine 0.5 ml/kg while the surgeon used a hernia needle under laparoscopic guidance to separate the free spermatic cord in the anterior peritoneal space.Record the hemodynamic indicators,airway pressure,PETCO2,surgical time,extubation time,postoperatively analgesic time,anesthesia and surgical complications,MOAA/S score,and FLACC score at different time points.Results There was no significant difference in hemodynamic indicators such as systolic blood pressure(SBP),diastolic blood pressure(DBP),mean arterial pressure(MAP),and SPO2 at different time points(P>0.05).The average anesthesia time was 39.21±4.49 minutes,the surgical time was 20.15±3.96 minutes,and the extubation time was 7.73±2.76 minutes.There was no significant difference in PETCO2 at different time points(P>0.05).The order of airway pressure was at the beginning of surgery>at the end of surgery>after intubation.The MOAA/S scores at the end of surgery,2 minutes after surgery,4 minutes,6 minutes,8 minutes,and 10 minutes were 0.30±0.88、1.18±1.38、2.48±1.50、3.30±1.36、4.48±0.80、4.97±0.17.The FLACC scores at extubation,6h,12h,and 24h after surgery were 0.36±1.03,0.45±0.67,1.27±0.84,and 1.36±0.60.Postoperatively analgesic time was 12.09±3.49 hours and no anesthesia or surgical complications were observed.Conclusion Laparoscopic guided injection of 0.2%ropivacaine 0.5ml/kg into the preperitoneal space can safely and effectively relieve postoperative pain in laparoscopic high ligation of hernia sac in children,and is worthy of clini-cal promotion.
万方数据
维普
