首页|彩超引导下腹横肌平面阻滞复合气管插管全麻对腹股沟疝腹腔镜手术患者躁动及Cravero评分的影响

彩超引导下腹横肌平面阻滞复合气管插管全麻对腹股沟疝腹腔镜手术患者躁动及Cravero评分的影响

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目的:研究腹股沟疝患者在腹腔镜手术过程中接受彩超引导下腹横肌平面阻滞复合气管插管全身麻醉的临床效果.方法:选择2020年1月~2023年1月在本院接受腹腔镜手术治疗的80例腹股沟疝患者,根据手术期间麻醉方法不同将其均分成两组.对照组接受常规气管插管全身麻醉;研究组接受彩超引导下腹横肌平面阻滞复合气管插管全身麻醉.对比两组麻醉效果.结果:研究组术后不同时间点Cravero、MMSE、谵妄量表评分的改善幅度大于对照组;麻醉前后生命体征相关指标水平的变化幅度小于对照组(P<0.05);躁动事件发生率低于对照组;研究组麻醉完全阻滞、术后麻醉完全苏醒、住院总时间短于对照组(P<0.05).结论:腹腔镜手术过程中接受彩超引导下腹横肌平面阻滞复合气管插管全身麻醉,可减少躁动事件发生,缩短麻醉阻滞、苏醒、住院时间,麻醉效果得到显著提升.
Effect of Color Ultrasound Guided Transverse Abdominal Muscle Plane Block Combined with General Anesthesia with Tracheal Intubation on Restlessness and Cravero Score in Patients Undergoing Laparoscopic Inguinal Hernia Surgery
Objective:To study the clinical effect of color ultrasound guided transverse abdominis plane block combined with general anesthesia with tracheal intubation in patients with inguinal hernia undergoing laparoscopic surgery.Methods:80 patients with inguinal hernia who underwent laparoscopic surgery in our hospital from January 2020 to January 2023 were selected and divided into two groups based on different anesthesia methods during the surgery.The control group received routine tracheal intubation general anesthesia;The study group received color ultrasound guided transverse abdominal muscle plane block combined with general anesthesia with tracheal intubation.Compare the anesthesia effects between the two groups.Results:The improvement in Cravero,MMSE,and delirium scale scores at different time points after surgery in the study group was greater than that in the control group;The amplitude of changes in the levels of vital signs related indicators before and after anesthesia was smaller than that of the control group(P<0.05);The incidence of restless events was lower in the study group than in the control group;The study group had complete anesthesia block,complete postoperative anesthesia recovery,and shorter total hospital stay compared to the control group(P<0.05).Conclusion:General anesthesia with color ultrasound guided transverse abdominal muscle plane block combined with tracheal intubation during laparoscopic surgery can reduce restless events,shorten anesthesia block,recovery,and hospital stay,and significantly improve the anesthesia effect.

inguinal hernialaparoscopic surgerycolor Doppler ultrasoundplane block of transversus abdominis muscle

刘雅静

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新钢中心医院麻醉科 (江西 新余 338000)

腹股沟疝 腹腔镜手术 彩超 腹横肌平面阻滞

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(6)
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