Effects of Transversus Abdominis Plane Block Combined with Intravenous-Inhalation General Anesthesia on Hemodynamics in Pediatric Patients Undergoing Laparoscopic Hernia Repair
SHI Xuxu, XU Meng
Department of Anesthesiology, Xuzhou Children's Hospital, Xuzhou Jiangsu 221006
Abstract：【Objective】 To evaluate the impact of transversus abdominis plane (TAP) block combined with intravenous-inhalation general anesthesia on hemodynamic stability in children undergoing laparoscopic hernia repair. 【Methods】 A total of 86 children undergoing laparoscopic hernia repair were randomly divided into an observation group (TAP block combined with intravenous-inhalation general anesthesia) and a control group (intravenous-inhalation general anesthesia alone), with 43 cases in each group. Hemodynamic parameters including mean arterial pressure (MAP), heart rate (HR) and pulse oxygen saturation were recorded before anesthesia (T0), at the onset of anesthesia (T1) and at the end of surgery (T2). Postoperative agitation, pain intensity, perioperative indicators and adverse reactions were compared between the two groups. 【Results】 The observation group exhibited significantly lower MAP and HR at T1 and T2 compared with the control group (P<0.05). The Pediatric Anesthesia Emergence Delirium (PAED) scores and pain scores were significantly lower in the observation group at all measured time points (P<0.05). The observation group also presented significantly shorter anesthesia duration and extubation time (P<0.05). No significant difference was found in the total incidence of postoperative adverse reactions between the two groups (P>0.05). 【Conclusion】 TAP block combined with intravenous-inhalation general anesthesia significantly stabilizes hemodynamics, reduces postoperative pain, accelerates recovery and shows satisfactory safety in children undergoing laparoscopic hernia repair.
2026, Vol. 43 
