经静脉自控镇痛在复发性股疝无张力修补术后的应用  

Application of intravenous patient-controlled analgesia for recurrent hernia after tension-free her-nioplasty

作　　者：杨淑平[1] 张久新[1] 穆志成 

机构地区：[1]河北省唐山市第三医院麻醉科,063100

出　　处：《临床外科杂志》2013年第6期431-432,共2页Journal of Clinical Surgery

摘　　要：目的 探讨复发性股疝无张力修补术术后应用经静脉自控镇痛的效果.方法 对2005年8月至2010年9月收治的32例复发性股疝行无张力修补术的患者术后镇痛进行回顾性分析.复发性股疝患者随机采用经静脉自控镇痛方法（A组）与常规镇痛方法（B组）,每组16例.结果 两组患者术后镇痛效果：A组数字分级评分法评分数值分别在术后4、8、16、24h四个时点明显低于B组,两组比较差异有统计学意义（P〈0.05）.结论 经静脉自控镇痛应用于网塞与偏心孔补片治疗复发性股疝无张力修补术后镇痛的方法,具有自主自控灵活性、无药物依赖性、及时即用性、镇痛效果良好等特点,是一种理想的术后镇痛方法,值得临床推广.Objective To explore the analgesia effect of the application of the PCIA after the ten-sion-free hernia operation for recurrent hernia. Methods The clinical data of 32 patients with recurrent hernia who underwent postoperative analgesia after tension-free hernioplasty from August 2005 to Septem- ber 2010 were retrospectively analyzed. The patients were randomly divided into two groups：the PCIA group（ group A, n = 16 ）and the conventional analgesia group（ group B, n = 16 ）. There was no significant difference between the two groups in age, gender or state of illness. Results The Numerical Rating Scale （NRS） score at 4 h,8 h, 16 h and 24 h in group A was significantly lower than that in group B（P 〈 O. 05 ）. Conclusion In the treatment of recurrent hernia after tension-free hernioplasty with mesh plug and eccentric hole patch, the application of PCIA has the advantages of autonomic flexibility, timeliness and good analgesic effect without drug dependence. It is an ideal method of postoperative analgesia and worth wider clinical application.

关 键 词：自控镇痛 复发性股疝 无张力疝手术 

分 类 号：R61[医药卫生—外科学]