The Effect of Ultrasound Assisted Bilateral Transverse Abdominal Muscle Nerve Block Combined with General Anesthesia in Laparoscopic Hernia Repair Surgery
Objective:To investigate the effect of combined use of ultrasound assisted bilateral transverse abdominal nerve block and total injection anesthesia in laparoscopic hernia repair. Methods:60 patients who underwent elective laparoscopic hernia repair surgery were randomly divided into a control group and an observation group,with 30 patients in each group. The control group received general anesthesia during surgery,while the observation group received general anesthesia combined with ultrasound-guided bilateral transversus abdominis plane block. Results:At the end of the surgery,there was no significant difference in MAP and HR between the two groups of patients (P>0.05);At the end of anesthesia,the MAP and HR levels in the observation group were lower than those in the control group (P<0.05);At 2,4,12,and 24 hours after surgery,the NRS pain score in the observation group was lower than that in the control group (P<0.05),and the BCS comfort score was higher than that in the control group (P<0.05);The observation group had shorter awakening time,spontaneous breathing recovery time,and extubation time than the control group (P<0.05). Conclusion:For patients undergoing laparoscopic hernia repair,the use of ultrasound guided bilateral transverse abdominal muscle plane nerve block combined with general anesthesia has a significant effect.