Abstract:
Objective To investigate the analysis of clinical efficacy and hemodynamic indexes of Dexmedetomidine and TAP-ⅢH nerve block in patients undergoing laparoscopic inguinal hernia surgery.
Methods Eighty-one cases of laparoscopic inguinal hernia repair in Ziyang First People's Hospital were selected and randomly divided into study group and control group. Forty-one cases in control group were treated with conventional general anesthesia, and 40 cases in study group were treated with dexmedetomidine nasal drip combined with TAP-ⅢH nerve block on the basis of general anesthesia. Anesthesia related indexes, hemodynamics, stress response indicators and quality of life scores of the two groups were compared.
Results Postoperative anesthesia related indicators such as propofol dosage, remifentanil dosage, postoperative visual analog score, and agitation in the study group were better than those in the control group, the difference was statistically significant (t=9.242, 29.361, 15.233; P<0.05; χ2=4.336, P<0.05). At T2, the hemodynamic indexes and stress response indexes of the study group were significantly lower than those of the control group (P<0.05). Three days after operation, the quality of life scores of the two groups were higher than those of the control group, and the quality of life score of the study group was higher, the difference was statistically significant (P<0.05).
Conclusion The Dexmedetomidine and TAP-ⅢH nerve block in patients undergoing laparoscopic inguinal hernia surgery is significant, it is worthy of popularization and application.
Key words:
Dexmedetomidine,
Intranasal,
Transversus abdominis plane,
ⅢH nerve block,
Hemodynamic,
Stress response
Li Wang, Jiaman Li. Analysis of clinical efficacy and hemodynamic indexes of Dexmedetomidine and TAP-ⅢH nerve block in patients undergoing laparoscopic inguinal hernia surgery[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(04): 396-399.