目的：探讨免气腹、免全身麻醉腹腔镜辅助下腹股沟疝无张力修补术对患者术中生命体征稳定性及术后恢复的影响。方法：选取广州市从化区中医医院及花都区人民医院于2023年7月至2025年6月收治的腹股沟疝患者，按照手术方式的不同分为研究组与对照组。对照组行传统气腹全身麻醉腹腔镜下腹股沟疝无张力修补术（TEP 或 TAPP 术式），研究组行免气腹、免全身麻醉腹腔镜辅助下腹股沟疝无张力修补术。比较两组患者术中呼吸、循环功能变化，术后并发症发生情况，以及术后肛门排气时间、住院时间和住院费用。结果：两组患者一般资料比较，差异无统计学意义。研究组术中血压波动幅度小于对照组（P＜0.05），心率及血氧饱和度变化与对照组比较差异无统计学意义。亚组分析显示，研究组中采用 TAPP 术式的患者呼吸波动大于对照组中采用 TAPP 术式的患者（P＜0.05），而两组中采用 TEP 术式的患者呼吸波动差异无统计学意义（P＞0.05）。研究组手术时间短于对照组，术中出血量高于对照组（P＜0.05）。两组住院时间比较差异无统计学意义（P＞0.05），但研究组术后肛门排气时间更短、总住院费用更低（P＜0.05）。结论：免气腹、免全身麻醉腹腔镜辅助下腹股沟疝无张力修补术有助于缩短手术时间，促进术后胃肠功能恢复，并降低住院费用，具有一定的临床应用价值。

目的 初步探究针刺数量对小儿脑瘫肌张力及粗大运动功能的影响。方法 选取我院2017年1月—2019年11月接收的脑瘫患儿78例,以随机数表法分组,常规针刺组39例,采用一般治疗加常规针刺穴位;增穴针刺组39例,在常规针刺组治疗基础上增加13个穴位治疗。对比2组患儿三个疗程后的肌张力及粗大运动功能。结果 治疗三个疗程后,常规针刺组肌张力评分稍低于增穴针刺组,粗大运动功能量表(GMFM-88)评分稍低于增穴针刺组,但差异没有统计学意义(P＞0.05)。结论 针刺疗法可以有效辅助脑瘫患儿治疗,但是增多穴位不一定能明显改善患儿肌张力和粗大运动功能。

Objective To explore the effect of acupuncture quantity on muscle tension and gross motor function in children with cerebral palsy. Methods From January 2017 to November 2019, 78 children with cerebral palsy who were treated in our hospital were collected. 78 children with cerebral palsy were randomly divided into two groups. The conventional acupuncture group (39 cases) were treated with general treatment and conventional acupuncture points. And the more-needle acupuncture group (39 cases) were treated with adding another 13 more acupuncture points. Muscle tension and gross motor function were compared between the two groups after three courses of treatment. Results After three courses of treatment, the muscle tension score of the conventional acupuncture group was slightly lower than that of the more-needle acupuncture group, and the gross motor function scale (GMFM-88) score was slightly lower than that of the more-needle acupuncture group, but the difference was not statistically significant (P>0.05). Conclusion Acupuncture therapy can effectively assist the treatment of children with cerebral palsy, but increasing acupoints may not improve the muscle tension and gross motor function of children with cerebral palsy.