腹腔镜腹膜前疝修补术治疗腹股沟疝对术后疼痛及GLU、INS水平的影响

Effect of Laparoscopic Repair of Lnguinal Hernia on Postoperative Pain and Glu and INS Levels

目的 探究腹腔镜腹膜前疝修补术治疗腹股沟疝对术后疼痛及血糖(GLU)、胰岛素(INS)水平的影响.方法 回顾性分析2018年1月至2019年6月江苏省徐州市贾汪区人民医院收治的100例腹股沟疝手术患者的临床资料,按手术方式分为观察组和对照组,各50例.对照组给予开放式无张力疝修补术,观察组给予腹腔镜腹膜前疝修补术.对2组手术相关情况、术后并发症、术后1~3d切口疼痛及手术前、手术24h后GLU、血清INS水平进行比较.对2组均随访3个月,比较术后复发情况.结果 与对照组相比,观察组的手术时间、下床时间、住院时间均缩短,出血量减少;与手术前相比,术后1~3d2组VAS评分均逐渐降低,且观察组术后1~3d均低于对照组(P<0.05),手术24h后2组GLU及血清C-P、INS升高,且观察组C-P及血清GLU水平低于对照组,血清INS水平高于对照组;观察组并发症发生率22.00%低于对照组58.00%,观察组复发率2.00%低于对照组10.00%(P<0.05).结论 腹腔镜腹膜前疝修补术可有效缓解腹股沟疝患者术后疼痛,改善术后高血糖状态,且安全性高,值得推广.

Objective To explore the effect of laparoscopic anterior peritoneal hernia repair and open tensionfree hernia repair on postoperative pain and Glu and INS levels.Methods A retrospective analysis was performed on the clinical data of 100 cases of inguinal hernia patients admitted to jiawang district people's hospital,xuzhou city,jiangsu province from January 2018 to June 2019.The control group received open tension-free hernia repair and the observation group received laparoscopic anterior peritoneal hernia repair.The levels of GLU and serum INS before and 24 h after surgery were compared among the two groups in terms of operation related conditions,postoperative complications,postoperative incision pain 1~3 days after surgery,and before and after surgery.The two groups were followed up for 3 months to compare the postoperative recurrence.Results Compared with the control group,the time of operation,time of getting out of bed and time of hospitalization in the observation group were shortened,and the amount of bleeding was reduced;the incidence of complications in the observation group(22.00%)was significantly lower than that in the control group(58.00%).Compared with that before operation,the VAS score of the two groups decreased gradually on the 1st-3rd day after operation,and the VAS score of the observation group was lower than that of the control group on the 1st-3rd day after operation;Glu and serum C-P,INS in the two groups increased 24 hours after operation,and the level of C-P and serum Glu in the observation group was lower than that in the control group,and the level of serum INS was higher than that in the control group;the incidence of complications in the observation group was 22.00%lower than that in the control group,58.00%,and the recurrence rate in the observation group was 2.00%lower than that in the control group,10.00%(P<0.05).Conclusion Laparoscopic preperitoneal hernia repair can effectively relieve the postoperative pain of patients with inguinal hernia,improve the state of postoperative hyperglycemia,and has high safety,which is worth popularizing.