摘要
目的比较老年人在局部麻醉及硬膜外麻醉下行无张力腹股沟疝修补术的疗效。方法采用随机对照研究方法将该院2006年6月～2009年5月进行的无张力腹股沟疝修补手术共126例患者,分为局麻组52例和硬膜外组74例,比较两组的临床资料。结果局麻组在患者费用、平均住院时间、术后恢复活动时间、并发症等方面具有优势,在手术时间、术后疼痛评分方面与硬膜外组没有明显区别。结论老年人在局部神经阻滞麻醉下行无张力疝修补手术可明显降低手术费用、术后并发症的发生,是一种安全、简便、经济的方式,值得临床推广。
【Objective】 To study the efficacy of tension-free inguinal hernia repair of senile patients with local nerve blockade anesthesia compared with epidural block anesthesia.【Methods】 Using random control study,126 cases were selected from 2006.6 to 2009.5 in our hospital.All patients were randomly divided into 2 groups： local nerve blockade anesthesia group 52 cases and epidural block anesthesia group 74 cases.【Results】 In local anesthesia group,costs in hospital,the average hospital stay,and the time to active of the patients,complication were less than that of the epidural block anesthesia groups significantly.But there is no obvious difference of the two groups in operation time and pain feeling.【Conclusion】 The tension-free inguinal hernia repair of senile patients under local nerve blockade anesthesia can reduce the costs of operation,incidences postoperative complication significantly.It is a safe and economical method and is worthy to popularize.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2012年第32期77-79,共3页
China Journal of Modern Medicine
关键词
腹股沟疝
无张力疝修补
局部麻醉
inguinal hernia
tension-free hernioplasty
local anesthesia
