硬膜外麻醉与联合麻醉下无张力修补术对高龄腹股沟疝患者围术期指标的影响分析  

Analysis of the Effects of Tension-free Repair under Epidural Anesthesia and Combined Anesthesia on Perioperative Indicators in Elderly Patients with Inguinal Hernia

作　　者：孙震涛 Zhentao Sun(Pingchang New City Community Health Center,Zhenjiang Jingkai District,Zhenjiang,Jiangsu 212000)

机构地区：[1]镇江市经开区平昌新城社区卫生服务中心,江苏镇江212000

出　　处：《医学研究前沿》2025年第3期42-44,共3页Frontiers of Medical Research

摘　　要：目的探究高龄腹股沟疝(IH)患者无张力修补术(PMHR)中硬膜外麻醉(CEA)与腰硬联合麻醉(CSEA)对围术期各项指标的影响。方法本文选取从2021年1月起行PMHR的高龄IH患者,并终止于2023年12月,入选共80例IH患者,按不同麻醉分组,其中行CEA的40例设为CEA组,行CSEA麻醉的40例设为CSEA组。对比并发症情况、围术期各项指标及术后谵妄(POD)情况等。结果与CEA组相比,CSEA组并发症更少(P<0.05)。与CEA组相比,CSEA组围术期各项指标更优(P<0.05)。与CEA组相比,CSEA组POD情况更少(P<0.05)。结论高龄IH患者PMHR中给予CSEA处理后,可减轻术后机体疼痛感,也可降低并发症风险,减少POD事件,可促进术后恢复,有推广价值。Objective To investigate the effects of epidural anesthesia(CEA)and combined lumbar and rigid anesthesia(CSEA)on perioperative indicators in tension-free repair(PMHR)of elderly patients with inguinal hernia(IH).Method In this paper,we selected elderly IH patients who underwent PMHR from January 2021 and terminated in December 2023,and a total of 80 IH patients were enrolled,which were grouped according to different anesthesia,among which 40 cases who underwent CEA were set as the CEA group,and 40 cases who underwent CSEA anesthesia were set as the CSEA group.Complications,perioperative indicators and postoperative delirium(POD)were compared.Result Compared with the CEA group,the CSEA group had fewer complications(P<0.05).Compared with the CEA group,the perioperative indicators were more favorable in the CSEA group(P<0.05).Compared with the CEA group,the CSEA group had fewer POD conditions(P<0.05).Conclusion After CSEA treatment was given in PMHR of senior IH patients,it can reduce the postoperative pain of the body,also reduce the risk of complications,reduce the POD events,and can promote the postoperative recovery,which has the value of promotion.

关 键 词：高龄 腹股沟疝 疝气无张力修补术 腰硬联合麻醉 围术期指标 

分 类 号：R656[医药卫生—外科学]