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目的:观察髂腹股沟神经-髂腹下神经联合阻滞预防七氟醚全身麻醉下行腹股沟斜疝疝囊高危结扎术患儿苏醒期躁动及术后镇痛的效果。方法:60例择期行腹股沟斜疝疝囊高位结扎术患儿随机分为2组,每组30例,Ⅰ组给予髂腹股沟神经-髂腹下神经联合阻滞+七氟醚吸入全身麻醉,Ⅱ组给予七氟醚吸入全身麻醉。观察2组苏醒期躁动发生率及术后24 h镇痛满意率。结果:Ⅰ组发生苏醒期躁动2例(6.7%)且较轻微,镇痛满意率93.33%,无严重疼痛患儿;Ⅱ组发生苏醒期躁动13例(43.3%),镇痛满意率为0,5例严重疼痛患儿,2组比较差异有统计学意义(P<0.05)。结论:髂腹股沟-髂腹下神经联合阻滞可明显降低七氟醚全身麻醉苏醒期躁动的发生率,且术后24 h镇痛效果满意。
OBJECTIVE: To observe the effect of combined ilio-groin-ilio-abdominal iliac blockade on agitation and postoperative analgesia during high-risk ligation of inguinal hernia in children undergoing general anesthesia with sevoflurane. Methods: Sixty children with elective lumbar hernia at inguinal hernia were randomly divided into two groups (n = 30 in each group). The patients in group Ⅰ received general anesthesia with ilio-groin nerve-ilio-abdominal nerve block plus sevoflurane inhalation, and Ⅱ Group was given sevoflurane inhalation of general anesthesia. The incidence of agitation and the satisfaction rate of analgesia at 24 hours after operation were observed in two groups. Results: There were 2 cases (6.7%) in group Ⅰ with restlessness and less severe, 93.33% of them had satisfactory analgesia, 13 cases (43.3%) had agitation in group Ⅱ, and 0 , 5 cases of severe pain in children, the difference between the two groups was statistically significant (P <0.05). CONCLUSION: The ilio-inguinal-ilio-abdominal combined with nerve block can significantly reduce the incidence of agitation during sevoflurane anesthesia recovery and the analgesic effect is satisfactory at 24 h.