中老年腹股沟疝局麻和硬膜外麻醉无张力疝手术的比较

Comparison between local anesthesia and epidural anesthesia stratege for tension-free hernioplasty in middle or old aged patients with ingunal hernia

目的:比较中老年人在局麻和硬膜外麻醉下行无张力疝修补术的疗效、住院时间、平均费用、恢复正常生活时间及手术并发症等。方法:采用随机对照方法,将164例分局麻组(男82例)和硬膜外组(男82例)。结果:局麻组病人平均手术时间(46min)、住院时间(2.8d)和手术并发症等都小于硬膜外麻醉组。结论:中老年腹股沟疝局麻下进行无张力疝修补术可明显减少手术费用,是一种安全有效的方法,值得推广。

Objective： To compare with eurative effect,hospital stay,average cost,recovery time and postoperative complication hetween local anesthesia and epidural anesthesia stratege for tension-free hernioplasty in middle or oDd-aged patients. Methods： 164 cases were randomly divided into local anesthesia and epidural anesthesia groups. Results： Mean operating time,the time of hospital stay and the rate of postoperative complication in local anesthesia groups were less than that in epidural anesthesia groups. Conclusion： Tension-free hernioplasty under local anesthesia,a more safe,effective and cheap operating method in middle or old aged patients with inguinal hernia, should be widespread.