摘要
目的探讨老年腹股沟疝患者采取不同麻醉方式实施无张力疝修补术的效果分析。方法选择商丘市第一人民医院2013年8月至2015年2月收治的78例老年腹股沟疝患者为研究对象,随机数字表法分为对照组(39例)和观察组(39例),对照组实施硬膜外麻醉方案,观察组采取局部麻醉方案,对二组患者手术相关指标进行观察。结果对照组手术时间及起床活动时间、住院时间等均较观察组长,差异有统计学意义(P<0.05);观察组术后出现呕吐、恶心、头晕等不良反应发生率为10.26%,明显较对照组33.33%低,差异有统计学意义(P<0.05)。结论老年腹股沟疝患者在局部麻醉下作无张力疝修补术治疗,可减少对生理功能的干扰,可促进术后恢复,控制不良反应,值得临床推广。
Objective To investigate the effect of different anesthesia methods for tension-free herniorrhaphy in elderly patients with inguinal hernia. Methods From August 2013 to February 2015,78 cases of elderly patients with inguinal hernia who were admitted to Shangqiu First Peoples＇ s Hospital were analyzed. Based on random number table,patients were divided into control group（ n = 39） and observation group（ n = 39）; control group received epidural anesthesia, and observation group underwent local anesthesia. Operation related indicators of the two groups were observed. Results Compared with the observation group,the operation time,time to ambulate and length of hospital stay were longer in control group,and the differences were statistically significant（ P〈0. 05）. The incidence of vomiting,nausea,dizziness and other adverse reactions in the observation group was 10. 26%,significantly lower than those in the control group（ 33. 33%）,the difference was statistically significant（ P〈0. 05）. Conclusion Local anesthesia for tension-free herniorrhaphy repair in elderly patients, can reduce the interference of physiological function,promote the postoperative recovery and control of adverse reaction,is worth the clinical promotion.
出处
《中华疝和腹壁外科杂志（电子版）》
2015年第5期29-31,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
老年人
疝修补术
麻醉
Hernia
inguinal
Aged
Herniorrhaphy
Anesthesia
