不同麻醉方式对老年腹股沟疝无张力修补术患者麻醉效果的影响

Influence of different anesthesia methods on the effect of anesthesia in elderly patients undergoing tension-free inguinal hernia repair

目的对比不同麻醉方式对老年腹股沟疝无张力修补术患者的麻醉效果。方法选择2017年5月至2018年5月宝鸡市中医医院收治的90例腹股沟疝无张力修补术患者作为研究对象,按照随机数表法随机分为2组,每组45例。对照组予以持续硬膜外麻醉方式,试验组予以局部麻醉方式。比较2组患者的麻醉效果、不良反应发生率及不同时间点的平均动脉压(MAP)及心率(HR)。结果试验组患者的麻醉起效时间、手术时间、术后下地活动时间、住院时间及住院费用均显著优于对照组,差异均有统计学意义(均P<0.001);试验组的不良反应发生率明及疼痛程度显低于对照组,差异均有统计学意义(均P<0.05);试验组患者MAP水平值及HR指数在T2、T3时的指标明显优于对照组,差异均有统计学意义(均P<0.001)。结论局部麻醉应用于老年腹股沟疝无张力修补术中能迅速而有效降低患者疼痛程度、有利于患者术后恢复,减少不良反应发生率,值得在临床中应用和推广。

Objective To compare the anesthesia effects of different anesthesia methods on elderly patients undergoing tension-free inguinal hernia repair.Methods 90 patients with tension-free inguinal hernia repair in our ospital from May 2017 to May 2018 were selected as the research subjects.According to the random grouping method,they were divided into a control group and an experimental group,45 cases in each group.The control group was given continuous epidural anesthesia,and the experimental group was given local anesthesia.The anesthesia effect,incidence of adverse reactions,mean artery pressure(MAP)and heart rate(HR)at different time points were compared between the two groups.Results The onset time of anesthesia,operation duration,postoperative time in the field,hospitalization duration,and hospitalization expenses of the experimental group were significantly better than those of the control group(P<0.001);the adverse reaction rate and the pain degree of the experimental group were significantly lower than those of the control group(P<0.05);the MAP and the HR index at T2 and T3 of the experimental group were significantly better than those of the control group(P<0.001).Conclusion Local anesthesia used in tension-free repair of the elderly inguinal hernia can quickly and effectively reduce the pain of the patient,help the patient recover after surgery,and reduce the incidence of adverse reactions.It is worthy of clinical application and promotion.