超声引导下髂腹下-髂腹股沟神经阻滞联合腹横肌平面阻滞用于腹股沟无张力疝修补术效果观察

目的:观察超声引导下髂腹下-髂腹股沟神经阻滞联合腹横肌平面阻滞用于腹股沟无张力疝修补术的效果。方法:选取某院自2018年1月~2018年12月期间收治的需要进行腹股沟无张力疝修补术的患者50例,将其随机分为对照组与研究组。对照组的患者将只采取腹横肌平面阻滞,研究组患者采取超声引导下髂腹下-髂腹股沟神经阻滞联合腹横肌平面阻滞的治疗方案,通过对比两组患者在经过治疗后的镇痛效果以及并发症的发生情况等进行分析探讨。结果:研究组患者经过视觉模拟评分法(VAS)评定后,镇痛效果明显优于对照组(P<0.05);研究组患者治疗后的并发症的发生情况明显低于对照组(P<0.05)。结论:对需要进行腹股沟无张力疝修补术的患者而言,术前的麻醉阻滞操作十分重要。目前的临床操作中大都对患者采取单纯的腹横肌平面阻滞,虽然在使用后有明显的麻醉阻滞效果,但是效果并不理想,同时还有着较多的并发症。使用超声引导下髂腹下-髂腹股沟神经阻滞联合腹横肌平面阻滞可以有效地解决临床中的这些问题,在临床手术治疗的过程中是一种科学有效的麻醉方案,值得在临床中大力推广使用。

Effect of Ultrasound-Guided Ilioveno-Ilioinguinal Nerve Block Combined with Transverse Abdominal Muscle Block in the Repair of Inguinal Tension-Free Hernia

Objective:To observe the effect of ultrasound-guided ilioveno-ilioinguinal nerve block combined with transverse abdominal muscle plane block in the repair of inguinal tension-free hernia.Methods:In this experimental study,50 patients admitted to a hospital from January 2018 to December 2018 undergo tension-free inguinal hernia repair were randomly divided into two groups,control group and study group.Patients in the control group were treated with transverse abdominal block alone.Patients in the study group will be treated with ultrasound-guided ilioveno-ilioinguinal nerve block combined with transverse abdominal muscle block.The analgesic effect and the incidence of complications were compared between the two groups.Results:After visual analogue scale(VAS)evaluation,the analgesic effect of the study group was significantly better than that of the control group(P<0.05).The incidence of complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion:It is important to perform anaesthesia before inguinal tension-free hernia repair surgery.At present,most of the clinical practice is to use simple transverse abdominal muscle plane block.Although it has obvious anesthesia effect,the effect is not ideal.There are also more complications.The ultrasound-guided ilioveno-ilioinguinal nerve block combined with transverse abdominal muscle block adopted in this study can effectively solve these problems in clinical practice.It is a scientific and effective treatment scheme in the course of clinical operation,which is worthy of being widely used in clinic.