不同麻醉方式在成年人腹股沟疝无张力修补术中的临床效果对比分析 |
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引用本文: | 邓天良.不同麻醉方式在成年人腹股沟疝无张力修补术中的临床效果对比分析[J].今日健康(家庭版),2016(4). |
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作者姓名: | 邓天良 |
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作者单位: | 剑阁县中医院麻醉科,四川 广元,628300 |
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摘 要: | 目的:分析对比不同的麻醉方法针对成年人腹股沟疝行无张力修补术的麻醉效果及临床各项表现。方法:选取我院普外科2012年12月———2015年12月收治入院的腹股沟疝患者86例,根据麻醉方法不同分为局部浸润麻醉组43例和硬膜外麻醉组43例,对比两组患者的麻醉效果,手术时间、并发症等情况,分析和讨论两种麻醉方法的临床效果。结果:两组患者行无张力修补术后一般情况对比,其中两组患者的手术时间、出血量、住院时间等一般资料对比均无较大统计学差异(P>0.05),但局部浸润麻醉组手术后使用镇痛药物总人数为21人(48.8%),硬膜外麻醉组手术后使用镇痛药物总人数为27人(62.7%)。两组患者使用镇痛药物情况对比具有统计学差异(P<0.05)、两组患者麻醉后并发症情况对比具有统计学差异(P<0.05)。结论:针对成年人腹股沟疝患者,行无张力修补术中采取局部浸润麻较之硬膜外麻醉能够更好的减少手术及麻醉并发症的发生,更为安全可靠。
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关 键 词: | 腹股沟 疝 局部浸润麻醉 硬膜外麻醉 |
Comparative analysis of the clinical effects of different anesthesia methods in the tension free repair of inguinal hernia in adults |
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Abstract: | Objective: To compare the different methods of anesthesia for inguinal hernia underwent tension-free hernioplasty?of anesthetic effect and the clinical performance. Methods:According to anesthesia were divided two groups (43 cases)of patients, operation time, complications, analysis and discuss the clinical effect of two anesthesia methods. Results:The local anesthesia group after surgery using the total number of analgesic drugs for 21 (48.8%) and epidural anesthesia group after surgery using the total number of analgesic drugs to 27 (62.7%). Conclusion:for patients with inguinal hernia underwent tension-free repair operation to take local anesthesia with epidural anesthesia to be able to better . |
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Keywords: | inguinal hernia local anesthesia epidural anesthesia |
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