蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2014年
12期
1655-1656,1657
,共3页
疝,腹股沟%无张力修补术%术后疼痛
疝,腹股溝%無張力脩補術%術後疼痛
산,복고구%무장력수보술%술후동통
hernia,inguen%tension-free hernia repair%postoperative pain
目的：：探讨腹股沟斜疝无张力修补术后疼痛发生原因及治疗方法，为临床治疗提供理论参考。方法：选取腹股沟斜疝无张力修补术后疼痛的59例患者，分析斜疝类型、发病年龄、麻醉方式、神经保护等因素对术后疼痛的影响，并制定相应预防或减轻疼痛措施。结果：Ⅲ、Ⅳ型斜疝患者疼痛程度高于Ⅰ、Ⅱ型斜疝患者(P<0.05)，低龄患者和局部浸润麻醉患者疼痛程度与高龄患者和椎管内麻醉者差异均无统计学意义(P>0.05)。结论：腹股沟斜疝无张力修补术后疼痛与疾病类型有一定关系，根据以上相关因素制定针对性的解决方案对于预防或缓解疼痛尤为必要。
目的：：探討腹股溝斜疝無張力脩補術後疼痛髮生原因及治療方法，為臨床治療提供理論參攷。方法：選取腹股溝斜疝無張力脩補術後疼痛的59例患者，分析斜疝類型、髮病年齡、痳醉方式、神經保護等因素對術後疼痛的影響，併製定相應預防或減輕疼痛措施。結果：Ⅲ、Ⅳ型斜疝患者疼痛程度高于Ⅰ、Ⅱ型斜疝患者(P<0.05)，低齡患者和跼部浸潤痳醉患者疼痛程度與高齡患者和椎管內痳醉者差異均無統計學意義(P>0.05)。結論：腹股溝斜疝無張力脩補術後疼痛與疾病類型有一定關繫，根據以上相關因素製定針對性的解決方案對于預防或緩解疼痛尤為必要。
목적：：탐토복고구사산무장력수보술후동통발생원인급치료방법，위림상치료제공이론삼고。방법：선취복고구사산무장력수보술후동통적59례환자，분석사산류형、발병년령、마취방식、신경보호등인소대술후동통적영향，병제정상응예방혹감경동통조시。결과：Ⅲ、Ⅳ형사산환자동통정도고우Ⅰ、Ⅱ형사산환자(P<0.05)，저령환자화국부침윤마취환자동통정도여고령환자화추관내마취자차이균무통계학의의(P>0.05)。결론：복고구사산무장력수보술후동통여질병류형유일정관계，근거이상상관인소제정침대성적해결방안대우예방혹완해동통우위필요。
Objective:To investigate the causes and treatment of postoperative pain of tension-free inguinal hernia repair,and provide a theoretical reference for the clinical treatment. Methods:The oblique hernia type, onset age, anesthesia and nerve protection in 59 postoperative pain patients treated with tension-free inguinal hernia repair were analyzed. Some measures were implemented to protect and alleviate postoperative pain. Results:The pain in patients with typeⅢ andⅣ hernia was higher than that in patients with typeⅠandII hernia(P<0. 05). The differences of pain between younger patients with local infiltration anesthesia and elderly patients with spinal anesthesia were not statistical significance(P>0. 05). Conclusions:The postoperative pain of inguinal hernia tension-free repair is relation to disease type. According to the related factors,the corresponding solution is necessary in preventing or alleviating pain.
