腹股沟疝患者应用不同的复合麻醉方式麻醉的效果研究

The Study of Anesthesia Anesthetic Methods of Inguinal Hernia Patients Application of Different

目的：探讨腹股沟疝患者应用不同的复合麻醉方式麻醉的效果研究。方法：选择2013年1月-2015年1月我院接诊的腹股沟疝80例患者进行研究。用以随机数表法，将其平均分为观察组、对照纽，每组病患备40名。观察组采取腰硬联合麻醉，对照组采取静吸复合全身麻醉。对比分析2组患者的麻醉效果、麻醉持续时间、麻醉起效时间、术毕持续时间和并发症情况。结果：对照组的麻醉起效时间6．3±1．5分钟，明显低于观察组9．0±1．1分钟，2组麻醉起效时间比较差异具有统计学意义（P〈0．05）；2组患者术毕清醒时间和手术持续时间比较差异无统计学意义。观察组进食时间在2．0±1．6小时、住院时间在1．0±0．6天；对照组进食时间为8．0±2．4小时、住院时间在3．0±0．4天，2组患者进食时间和住院时间比较差异显著，P〈0．05，具有统计学意义。观察组的麻醉并发症恶心／呕吐，头痛，尿潴留的发生率分别是22．50％，17．50％和27．50％g，对照组的并发症情况中恶心／呕吐和尿潴留的发生率分别为5％和7．50％，然而，对照组的头痛发生率仅仅为2．50％。观察组和对照组的麻醉并发症比较差异均具有统计学意义（P〈0．05）。结论：静吸复合全身麻醉和腰硬联合麻醉在腹股沟疝患者治疗过程中都能起到良好的麻醉效果，但是，静吸复合全身麻醉给麻醉起效时间缩短，并发症的发生率也低于腰硬联合麻醉，值得临床推广应用。

Objective： To study on effect of anesthesia anesthetic methods of inguinal hernia patients application of different. Methods： Choose the 2013 January to 2015 of inguinal hernia in our hospital in January were studied in 80 patients with reception. For a ran- dom number table method, the average divided into normal group, control group40 patients, the combined spinal epidural anesthesia. Comparative analysis of two groups of patients, duration of anesthesia, duration and complications after operation. Results ： The onset time of anesthesia in the control group （6.3 ±1.5min） was significantly lower than （9 ± 1.1min）, statistically significant difference compared two groups of onset time of anesthesia （ 2 ± 1.6 ） hours, hospitalization time in （ 1 ± 0.6 ） days ; the control group feeding time is （ 8± 2.4） hours, hospitalization time in （ 3 ±0. 4） days, eating time of two of patients in hospital （ P 〈 0.05 ）, with statistical significance. The conventional group the anesthesia complications nausea / vomiting, headache, the ineidenee of urinary retention rates were 22.50%, 17.50% and 27.50% in control group, the complication of nausea / vomiting and urinary retention occurred in 5% and 7. 50% ,the incidence rate of only 2.50%. The conventional complications differences were statistically significant （P 〈 0. 05 ）. Conclusion： Intravenous Inhalation Combined Anesthesia and combined epidural anesthesia can play the anesthetic effect, patients during treatment, combined spinal epidural anesthesia for anesthesia, intravenous inhalation combined anesthesia, worthy of popularization and application in Linehuan.