某医院日间手术治疗老年腹股沟疝患者术后早期切口疼痛的相关因素

发布时间：2018-04-27 16:21

本文选题：腹股沟疝 + 日间手术　；参考：《中国老年学杂志》2017年04期

【摘要】：目的探讨影响老年腹股沟疝日间手术术后早期切口疼痛的相关因素。方法某院行日间腹腔镜腹股沟疝修补术的老年患者690例,对其术后早期切口疼痛情况及相关因素进行观察和分析。结果共有88例于术后早期出现切口中、重度疼痛,单因素分析结果显示,轻度疼痛与中、重度疼痛患者在年龄、体质指数(BMI)、吸烟情况、手术时间、麻醉药用量、术后镇痛等方面均有统计学差异(P0.05);Logistic多元回归分析显示,老年腹股沟疝日间手术术后早期切口中、重度疼痛的发生与年龄、BMI、麻醉药用量、术后镇痛均具有相关性(P0.05)。结论影响老年腹股沟疝日间手术术后早期切口疼痛的相关因素复杂多样,临床医生应给予高度重视,在围术期给予充分的了解和有效的干预,从而达到提高手术质量、促进患者康复、减轻手术痛苦的目的。
[Abstract]:Objective to investigate the related factors of early incision pain after day operation of inguinal hernia in the elderly. Methods 690 elderly patients undergoing day laparoscopic inguinal herniorrhaphy were observed and analyzed. Results A total of 88 patients with severe pain occurred early after operation. Univariate analysis showed that patients with mild pain, moderate or severe pain had age, body mass index (BMI), smoking status, time of operation, dosage of anesthetic. Logistic multiple regression analysis showed that the incidence of severe pain in the early incision after interday operation of inguinal hernia was correlated with the age of BMI, the amount of anesthetic and postoperative analgesia. Conclusion the related factors affecting the early incisional pain after day operation of inguinal hernia in the elderly are complicated and varied. The clinicians should attach great importance to it and give adequate understanding and effective intervention in the perioperative period so as to improve the quality of the operation. The purpose of promoting the recovery of patients and alleviating the pain of operation.
【作者单位】：吉林大学白求恩第一医院;
【基金】：吉林省科技厅课题(20080445-2)
【分类号】：R656.21

【参考文献】