Comparison of application effects of subarachnoid block and ultrasound-guided transverse abdominis plane block in inguinal hernia repair in the elderly
Objective To compare the application effects of subarachnoid block and ultrasound-guided transverse abdominis plane block(TAPB)in inguinal hernia repair in the elderly.Methods From January 2020 to December 2021,70 elderly patients undergoing elective unilateral inguinal hernia repair in our hospital were selected as the research objects.According to different anesthesia methods,the patients were divided into group T(ultrasound-guided TAPB)and group S(subarachnoid block),with 35 cases in each group.The anesthetic effects of the two groups were compared.Results The time required to complete blockage and the anesthesia time to reach the highest sensory block plane in the group T were significantly longer than those in the group S(P＜0.05);the highest sensory block level in the group T was lower than that in the group S(P＜0.05).The total incidence of adverse events in the group T was lower than that in the group S(P＜0.05).There were no significant differences of heart rate(HR)and mean arterial pressure(MAP)at different time points in the group T(P＞0.05);there were statistically significant differences of HR and MAP at different time points in the group S(P＜0.05).At 3,6,12,24,48 h after operation,the Visual Analogue Scale(VAS)score of the group T was lower than that of the group S(P＜0.05);the postoperative analgesia time of the group T was longer than that of the group S(P＜0.05).Conclusion Compared with subarachnoid block,ultrasound-guided TAPB can provide better intraoperative hemodynamic management and postoperative analgesia for elderly patients with inguinal hernia repair,and the incidence of adverse events is low.
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