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在局部,脊椎和全身麻醉下进行开放的 inguinal hernioplasty:一项比较研究

Abirami J Raghunath¹, Subhankar Paul², Keddy Janakiraman Raghunath³

¹Department of General Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India. abiraghu132@gmail.com.

Hernia : the journal of hernias and abdominal wall surgery

|March 18, 2025

概括

与脊椎或全身麻醉相比,用于开放的 inguinal 修复的局部麻醉可以减少术后疼痛和更快的恢复. 这种方法耐受性良好,尽量减少止痛药的需要,并允许立即恢复日常活动.

科学领域:

手术麻醉学手术麻醉学
椎间盘外科手术的结果
患者恢复指标患者恢复指标

背景情况:

阴带修复是一种常见的整体外科手术程序,麻醉的选择会影响患者的结果.
虽然专门的中心使用局部麻醉,脊椎和全身麻醉仍然普遍用于开放的 inguinal 修复.
这项研究比较了在局部,脊柱和全身麻醉下开放的 inguinal 网修复的短期结果.

研究的目的:

为了比较局部,脊柱和全身麻醉组的术后疼痛得分.
为了评估手术的持续时间,止痛的持续时间,活动的恢复,饮食的开始和空气的时间.
评估并发症,生活质量 (EuroQol) 和患者对麻醉选择的满意度.

主要方法:

一项前性观察性研究,对135名接受开放 inguinal hernioplasty (列支敦士登技术) 的患者进行了观察.
患者被分为三个组:局部麻醉 (LA),脊髓麻醉 (SA) 和全身麻醉 (GA) (每组45名患者).
记录和分析了包括疼痛评分,恢复指标,并发症,生活质量和满意度在内的短期结果.

主要成果:

与SA和GA组相比,LA组的术后疼痛得分较低,从术后的第1至第6天 (p < 0.001) 观察到SA和GA组.
在治疗疼痛的持续时间,恢复行走,开始吃饭和出院方面,LA组的结果明显更好 (p < 0.001).
结果有利于LA关于恶心,吐,止痛药的使用和尿液保留,在整体满意度或生活质量方面没有显著差异.

结论:

局部麻醉在开放的 inguinal hernia 修复中耐受良好,可显著降低手术后立即疼痛和减少止痛要求.
在LA治疗的患者更快地恢复基本活动 (行走,排泄,饮食),没有尿,避免了其他麻醉类型的风险.
局部麻醉导致手术和住院时间缩短,使日托程序具有可比的生活质量和患者满意度.

关键词:

Hernia 这是一个.椎间板膜整形手术 (Hernioplasty) 是一项手术.列支敦士登的修复工作局部麻醉局部麻醉

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