ObjectiveTo compare the application effects of different anesthesia blocks in elderly patients treated with laparoscopic cholecystectomy(LC).

MethodsA total of 89 elderly patients udergoing LC were divided into two groups: bilateral transversal plane block (TAPB) combined with bilateral rectus sheath block (RSB) group (48 cases) and bilateral TAPB group (41 cases) according to the way of anesthesia.The intraoperative hemodynamics, stress indexes, postoperative recovery and adverse reactions were compared between two groups.

ResultsAt the beginning of surgery, after 30 minutes of surgery and at extubation, the heart rate, systolic blood pressure, diastolic blood pressure, blood glucose and cortisol in the combination group were lower than those in TAPB group(P < 0.05 to P < 0.01).After surgery, there was no statistical significance in the breathing recovery time, eye opening time or orientation recovery time between two groups(P>0.05).The differences of the incidence rates of adverse reactions(including headache, nausea and vomiting, dysuria and low back pain) were not statistically significant between two groups (P>0.05).

ConclusionsThe application of TAPB combined with RSB anesthesia in elderly patients treated with LC can better ensure the stability of intraoperative circulation and relieve intraoperative stress, which dose not increase the risk of related adverse reactions and is high safety.