标题：超声引导下腹横肌平面阻滞在小儿疝气手术中的应用

      作者：武建洪 1，罗晓波 2，高国一 2
    (西双版纳州人民医院麻醉科 1、超声科 2，云南 西双版纳 666100)

      卷次： 2014年25卷11期

      【摘要】 目的 探讨超声引导下腹横肌平面(TAP)阻滞用于小儿疝气手术中的效果。方法 46例小儿斜疝
修补术患者随机分为两组各23例，观察组给予基础麻醉后实行超声引导下TAP阻滞，对照组仅予基础麻醉不予
TAP阻滞，观察两组患儿切皮反应、术中KLS合剂用量、术后苏醒时间及术后镇痛效果。结果 观察组患儿切皮
前后MAP及HR无明显变化(P＞0.05)，对照组患儿切皮后MAP、HR均较切皮前有明显上升(P<0.05)；观察组患
儿术中KLS合剂用量及术后苏醒时间均明显小于对照组，术后镇痛满意的比例明显高于对照组，差异有统计学
意义(P＜0.05)。结论 超声引导下TAP阻滞用于小儿腹股沟斜疝手术能取得更加有效的镇痛效果。

      【关键词】 超声引导；腹横肌平面；小儿；疝气

      【中图分类号】 R726.1 【文献标识码】 A 【文章编号】 1003—6350（2014）11—1603—03


Ultrasound-guided transversus abdominis plane block in pediatric hernia surgery.
WU Jian-hong 1,
LUO Xiao-bo 2, GAO Guo-yi 2. Department of Anesthesiology 1, Department of Ultrasound 2, Xishuangbanna Prefecture
People's Hospital, Xishuangbanna 666100, Yunnan, CHINA

【Abstract】 Objective To investigate the anesthetic effect of ultrasound-guided TAP block in pediatric hernia
surgery. Methods Forty six children with pediatric hernia surgery were randomly divided into two groups, the obser-
vation group treated by basic anesthesia and ultrasound-guided TAP block, and the control group treated by basic anes-
thesia only. The incision reaction, the KLS agent dosage, the recovery time after surgery and postoperative analgesia were
observed. Results There were no significant changes in MAP and HR in the observation group before and after skin inci-
sion (P>0.05), and that in the control group were increased significantly after skin incision (P<0.05). The KLS agent dos-
age and postoperative recovery time in observation group were significantly less than those in the control group, and anal-
gesia satisfactory postoperative was significantly higher than that in the control group (P<0.05). Conclusion Ultrasound
guided TAP block in pediatric inguinal hernia surgery is an effective method in providing analgesic.