中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
24期
145-147
,共3页
腹股沟疝无张力修补术%局部麻醉%硬膜外麻醉%临床效果
腹股溝疝無張力脩補術%跼部痳醉%硬膜外痳醉%臨床效果
복고구산무장력수보술%국부마취%경막외마취%림상효과
Tension free repair of inguinal hernia%Local anesthesia%Epidural anesthesia%Clinical effect
目的：比较局部麻醉与硬膜外麻醉在腹股沟疝无张力修补术中的临床效果。方法将85例腹股沟疝(单侧疝)患者随机分为局麻组与对照组。局麻组43例患者采用局部麻醉，对照组42例患者采用硬膜外麻醉，两组患者均采用腹股沟疝无张力修补术治疗。对比两组患者围术期平均动脉压的变化、术后并发症及手术相关指标。结果局麻组患者切皮后1、5 min的平均动脉压高于对照组(P<0.01)；局麻组患者平均动脉压在手术中4个时间点上差异无统计学意义(P>0.05)；而对照组患者平均动脉压在4个时间点上不全相同(P<0.01)；局麻组患者的恶心呕吐及尿潴留发生率明显低于对照组(P<0.01)；局麻组患者的下地时间、住院时间及住院总费用优于对照组(P<0.01)。结论在腹股沟疝无张力修补术中，采用局部麻醉具有术中患者血压更为稳定、麻醉并发症发生率更低、患者恢复快、住院费用更节省等优点。
目的：比較跼部痳醉與硬膜外痳醉在腹股溝疝無張力脩補術中的臨床效果。方法將85例腹股溝疝(單側疝)患者隨機分為跼痳組與對照組。跼痳組43例患者採用跼部痳醉，對照組42例患者採用硬膜外痳醉，兩組患者均採用腹股溝疝無張力脩補術治療。對比兩組患者圍術期平均動脈壓的變化、術後併髮癥及手術相關指標。結果跼痳組患者切皮後1、5 min的平均動脈壓高于對照組(P<0.01)；跼痳組患者平均動脈壓在手術中4箇時間點上差異無統計學意義(P>0.05)；而對照組患者平均動脈壓在4箇時間點上不全相同(P<0.01)；跼痳組患者的噁心嘔吐及尿潴留髮生率明顯低于對照組(P<0.01)；跼痳組患者的下地時間、住院時間及住院總費用優于對照組(P<0.01)。結論在腹股溝疝無張力脩補術中，採用跼部痳醉具有術中患者血壓更為穩定、痳醉併髮癥髮生率更低、患者恢複快、住院費用更節省等優點。
목적：비교국부마취여경막외마취재복고구산무장력수보술중적림상효과。방법장85례복고구산(단측산)환자수궤분위국마조여대조조。국마조43례환자채용국부마취，대조조42례환자채용경막외마취，량조환자균채용복고구산무장력수보술치료。대비량조환자위술기평균동맥압적변화、술후병발증급수술상관지표。결과국마조환자절피후1、5 min적평균동맥압고우대조조(P<0.01)；국마조환자평균동맥압재수술중4개시간점상차이무통계학의의(P>0.05)；이대조조환자평균동맥압재4개시간점상불전상동(P<0.01)；국마조환자적악심구토급뇨저류발생솔명현저우대조조(P<0.01)；국마조환자적하지시간、주원시간급주원총비용우우대조조(P<0.01)。결론재복고구산무장력수보술중，채용국부마취구유술중환자혈압경위은정、마취병발증발생솔경저、환자회복쾌、주원비용경절성등우점。
Objective To compare the Clinical effect of local anaesthesia and epidural anesthesia in tension-free in-guinal hernia repair. Methods 85 patients with inguinal hernia (unilateral hernia) were randomly divided into local anesthesia group and control group.The 43 cases in local anesthesia group were used local anesthesia and the 42 cases in control group were used epidural anesthesia.Both groups were used inguinal hernia unstressing repair.The mean arte-rial pressure,postoperative complications and relative operation indicators were compared in the two groups. Results The mean arterial pressure in cutting the skin after 1 min and 5 min in local anaesthesia group were higher than the control group (P<0.01).There no difference of mean arterial pressure in four time-points in the local anaesthesia group (P>0.05).However,the mean arterial pressure in four time-points in the control group was not all the same (P<0.01).The incidence rates of nausea,vomiting and uroschesis in the local anaesthesia group were lower than the control group (P<0.01).The fields time,hospital stays and total hospital cost were in the local anaesthesia group better than the control group (P<0.01). Conclusion In the inguinal hernia unstressing repair,there are more advantages in local anaesthesia group,such more stable blood pressure,lower complication rates,rapid recovery and lower hospital cost.
