探讨超声引导腹横肌平面（TAP）阻滞在小儿腹股沟疝修补术中的应用效果。

回顾性分析2017年3月至2018年9月，湖北省荆州市第一人民医院行腹股沟疝修补术108例患儿的临床资料，根据麻醉方式不同分为试验组（63例）和对照组（45例），对照组采用常规麻醉方式，试验组采用超声引导TAP阻滞。比较2组患儿手术应激情况，术后苏醒时间、拔管时间、躁动情况及自控镇痛情况，并记录2组并发症发生情况。

试验组患儿切皮后2 min及10 min HR、SBP及DBP均明显低于对照组，差异有统计学意义（P<0.05）。与对照组比较，试验组术后苏醒时间及拔管时间均明显提前，差异有统计学意义（P<0.05）。试验组患儿拔管后10 min小儿麻醉苏醒期躁动评分（PAED）明显低于对照组，差异有统计学意义（P<0.05）。与对照组比较，试验组术后24 h舒芬太尼自控镇痛用量明显减少，镇痛泵按压次数明显降低，差异有统计学意义（P<0.05）。试验组总并发症发生率明显低于对照组，差异有统计学意义（P<0.05）。

小儿腹股沟疝修补术中采用超声引导TAP阻滞镇痛效果明显，可有效降低患儿苏醒期躁动发生风险和手术应激反应，并发症少，安全性高，患儿术后恢复较快，值得临床推广使用。

To explore the application effect of ultrasound guided transversus abdominis plane (TAP) block in children with inguinal hernia repair.

The clinical data of 108 children who underwent inguinal hernia repair in First People's Hospital of Jingzhou between March 2017 and September 2018 were retrospectively analyzed. They were divided into the experiment group (n=63) and the control group (n=45) according to the different anesthesia methods. The control group used conventional anesthesia, the experiment group used ultrasound guided TAP block. The situation of surgical stress reaction, the postoperative recovery time, extubation time, the situation of agitation and self-controlled analgesia were compared between the two groups, and the complications of the two groups were recorded.

The heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) at 2 minutes and 10 minutes after incision in the experiment group were significantly lower than the control group (P<0.05). Compared with the control group, the postoperative recovery time and extubation time of the experiment group significantly advanced (P<0.05). The pediatric anesthesia emergence delirium (PAED) score at 10 minutes after extubation in the experiment group was significantly lower than that of the control group (P<0.05). Compared with the control group, the amount of self-controlled analgesia 24 hours after operation significantly reduced, and the count of analgesic pump compressions significantly decreased in the experiment group (P<0.05). The incidence of total complications in the experiment group was significantly lower than that in the control group (P<0.05).

Ultrasound guided TAP block is effective in children with inguinal hernia repair, which can effectively reduce the risk of agitation during recovery and surgical stress in children. The complications of post-operation are less, and the safety is high. The postoperative recovery is faster, it is worthy of clinical application.