摘要
目的探讨研究不同麻醉方式腹股沟疝无张力修补术中的应用及对手术指标和术后并发症的影响。方法回顾性调查成都市第五人民医院2011年1月到2014年1月,收治的腹股沟疝并采用无张力修补术进行治疗的患者90例,按照不同的麻醉方式分为二组。采用局部麻醉方式进行手术的患者共42例,为A组。采用硬膜外麻醉方式的患者共48例,为B组。观察对比二组患者的手术指标、术后VAS疼痛视觉模拟评分、镇痛药物使用情况以及术后并发症发生情况。结果 A组平均手术时间、术中出血量、术后苏醒时间均明显低于B组[(38±3)min vs(53±4)min、(6.2±1.3)ml vs(8.4±1.4)ml、(16.2±2.3)min vs(20.6±2.6)min];VAS疼痛视觉模拟评分和镇静药物使用例数A组和B组比较,差异无统计学意义(P>0.05);术后并发症恶心呕吐、尿潴留、眩晕、浆液肿、切口感染以及阴囊血肿A组出现例数分别有0例、1例、0例、2例、0例和5例,并发症发生率为19.05%;B组分别有5例、7例、6例、9例、5例和8例,并发症发生率为83.33%;除阴囊血肿外,其他数据比较,差异均有统计学意义(P<0.05)。结论采用局部麻醉和硬膜外麻醉在术后疼痛感觉和镇静药物使用方面二者无明显差异,但是采用局部麻醉可以减少各项手术指标,同时减少术后并发症发生,值得在临床治疗中大力推广。
Objective odiscuss the clinical effect of different anesthesia methods and their influence on operation parameters and postoperative complications in inguinal hernia tension-free repair. Methods0 cases of inguinal hernia tension-free repair in Chengdu fifth people＇s hospital from January 2011 to January2014,were divided into two groups according to different anesthesia methods. Group A（ n = 42） was given local anesthesia,and Group B（ n = 48） was given epidural anesthesia. Operation parameters,postoperative pain visual analogue scale（ VAS）,use of analgesic drug and postoperative complications of the two groups were observed. Results The operation parameters,such as mean operation time,blood loss and Anesthetic recovery time,of group A were significantly lower than those of group B [（ 38 ± 3） minutes vs（ 53 ±4） mnutes;（ 6. 2 ± 1. 3） ml vs（ 8. 4 ± 1. 4） ml;（ 16. 2 ± 2. 3） minutes vs（ 20. 6 ± 2. 6） minutes） ];there were no differences in VAS score and analgesic drug intake between group A and group B.Postoperative complications such as nausea and vomiting,urinary retention,dizziness,seroma,wound infection,and scrotal hematoma in group A were 0 case,1 case,0case,2 cases,0 case and five cases,respectively,and the complication rate was 19. 05%; Group B were 5 cases,7 cases,6 cases,9 cases,5 cases and 8 cases,respectively,while the complication rate was 83. 33%. All of these differences reach statistical significance,except for the scrotal hematoma. Conclusions There are no differences in terms of postoperative pain and analgesic drug usage between local anesthesia and epidural anesthesia,but local anesthesia can reduce numbers of operation parameters and postoperative complications,and it is worthy of popularization.
出处
《中华疝和腹壁外科杂志（电子版）》
2016年第1期39-42,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝
修补术
麻醉方式
手术后并发症
Hernia
inguinal
Herniorrhaphy
Anesthesia
Postoperative complications
