摘要
目的回顾性分析成人在局麻与硬膜外麻醉下行腹股沟病修补术的麻醉满意度、疗效、平均费用、恢复正常动的时间及手术并发症等。方法分析2006年12月至2009年3月行腹股沟无张力修补术的176例成年患者,分为局麻组(69例)和硬膜外阻滞麻组(107例)。结果局麻组患者平均手术时间、术后疼痛评分、住院费用和手术并发症等均明显小于硬膜外麻醉组(P<0.05),而麻醉满意度、住院时间、术后恢复正常活动时间两者无明显差异(P>0.05)。结论成人局麻下进行无张力疝修补术,可明显减少手术费用,术后并发症的发生率,是一种安全而有效的方法,可成为腹股沟疝无张力修补的常规麻醉方式。
Objective To study the efficiency and benefit of tension-free inguinal repair with local anesthesia compared with epidural block anesthesia. Methods An of the 176 cases were performed tension-free hernioplasty with mesh-plug. 69 cases were treated with local anesthesia and the other 107 cases were treated with epidural block anesthesia. And the operation time, superadded drug, hospitalised time, grade of painness after operation, hospitalisition costs and postoperation complication were observed. Results Compared with the epidural block anesthesia, the local anesthesia group had shorter operation time, milder painness, less hospitalisition costs and less complications （P 〈 0.05）. Conclusions The tension-free hernioplasty performed with lo- cal anesthsia had many benefits compared with epidural block anesthesia. And it had lower side effect on the whole body, so local anesthsia should be the first choise in the operation.
出处
《中国实用医药》
2009年第31期7-8,共2页
China Practical Medicine
关键词
腹股沟疝
无张力疝修补术
局部麻醉
硬膜外麻醉
Inguinal hernia
Tension-free hernioplasty
local anesthesia
Epidural block anesthsia
