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.