局部神经阻滞麻醉在老年人双侧腹股沟疝手术中的应用分析

发布时间：2018-03-25 03:12

本文选题：局部神经阻滞麻醉　切入点：腹股沟疝　出处：《泰山医学院学报》2016年08期

【摘要】：目的探讨局部神经阻滞麻醉在老年人双侧腹股沟疝手术治疗中的应用效果,为麻醉方式的选择提供依据。方法以我院普外科于2014年1月至2014年12月期间收治的100例老年双侧腹股沟疝术患者作为本组研究的观察对象,采用平行随机抽样法将其平均分为对照组与观察组各50例,对照组采用硬膜外麻醉,观察组采用局部神经阻滞麻醉,对比两组的手术时间、疼痛视觉模糊评分(VAS)、麻醉效果以及不良反发生情况。结果 (1)两组患者均成功完成手术,其中观察组的平均手术时间(117.16±18.75)min,VAS评分为(2.23±0.85)分,均明显低于对照组,具有统计学意义,P0.05。(2)观察组的麻醉效果优27例,良21例,差2例,麻醉有效率为96%,明显高于对照组,具有统计学意义(P0.05)。(3)观察组共出现阴囊血肿2例、切口肿胀3例,并发症发生率为10%;对照组中出现阴囊血肿4例、切口肿胀6例、呼吸困难2例、尿潴留1例,并发症发生率为26%,观察组明显低于对照组,具有统计学意义(P0.05)。结论在老年人双侧腹股沟疝采用局部神经阻滞麻醉,具有麻醉效果好、安全性高、术后并发症少等优势,可以作为首选麻醉方式在临床中推广应用。
[Abstract]:Objective to explore the clinical effect of local nerve block anesthesia in elderly patients with bilateral inguinal hernia in surgical treatment, provide the basis for the choice of anesthesia. Methods in Department of general surgery in our hospital during the period from January 2014 to December 2014 were 100 cases of elderly patients with bilateral inguinal hernia group as the research object of observation, using parallel randomly divided for the control group and the observation group with 50 cases in each group, the control group was treated with epidural anesthesia, the observation group with local anesthesia, compared two groups of operation time, pain visual analogue scale (VAS), anesthesia effect and adverse reaction were observed. Results (1) two patients were operated successfully, the average operative time the observation group (117.16 + 18.75) min, VAS score was (2.23 + 0.85), were significantly lower than the control group, with statistical significance, P0.05. (2) of the observation group anesthesia effect was excellent in 27 cases, good in 21 cases, poor in 2 Patients, anesthesia efficiency was 96%, significantly higher than the control group, with statistical significance (P0.05). (3) observation group there were 2 cases of scrotal hematoma, 3 cases of incision swelling, the complication rate was 10%; the control group in 4 cases of scrotal hematoma, 6 cases of incision swelling, dyspnea in 2 cases, 1 cases retention of urine, the complication rate was 26%, the observation group was significantly lower than the control group, with statistical significance (P0.05). Conclusion the local nerve block in bilateral inguinal hernia in the elderly patients with anesthesia, anesthetic effect, high safety, less complications and other advantages, can be used as the first choice of anesthesia in the clinical application.

【作者单位】：临沂市第三人民医院;
【分类号】：R614

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