【摘要】目的　探讨腹股沟疝手术中的局部麻醉应用分析。方法　选取2013年10月～2014年11月我院接诊的32例腹股沟疝手术患者，按照入院的先后顺序分为两组，实验组和对照组，实验组采用局部麻醉，对照组采用硬膜外麻醉，观察两组患者的治疗效果。结果 实验组患者的麻醉起效时间、麻醉持续时间、手术时间明显优于对照组，差异显著，有统计学意义（P＜0.05）；实验组患者的并发症的发生率、复发率明显低于对照组，差异显著，有统计学意义（P＜0.05）。结论 腹股沟疝手术应用局部麻醉的效果显著，麻醉起效快、麻醉时间长，并发症的发生率低。

doi:10.3969/j.issn.1674-9316.2015.03.027

作者单位：150100 黑龙江省双城市骨伤科医院

The Analysis of Local Anesthesia Application in Surgery Treatment of Inguinal Hernia

ZHANG Kai　Orthopedics Hospital in Shuang Cheng City，Shuangcheng 150100，China

【Abstract】

Objective　The local anesthesia application in surgery treatment of inguinal hernia is to be analyzed. Methods　Choose 32 inguinal hernia patients who are treated in hospital from October 2013 to November 2014 and separate them into study group and control group according to their hospitalization sequence.Patients in study group are given local anesthesia treatment; while patients in control group are given epidural anesthesia treatment,and then compare treatment efficacy of the two groups. Results　The result shows that the anesthesia taking-effect time and anesthesia lasting time, and operation timein study group are much more favorable than control group,there is a clinical treatment efficacy differential between the two groups, and such a differential has statistic value（P＜0.05）. Besides, patients’ complication incidence and illness recurrence in study group are less than patients in control group; there is a clinical treatment efficacy differential between the two groups, and such a differential has statistic value（P＜0.05）. Conclusion　Local anesthesia treatment is of efficacy in treatment of inguinal hernia, the anesthesia taking-effect time is fast and over-lasting, and complication incidence of local anesthesia treatment is quite few; thus, it is quite worthwhile to be promoted clinically.

【Key words】Inguinal hernia surgery，Local anesthesia，Epidural anesthesia

腹股沟疝是指在腹股沟区，腹腔内的脏器由于腹股沟发生缺损往体表突出，从而形成腹股沟疝，包括腹股沟直疝、斜疝、股疝，其中斜疝占腹股沟疝的90%，属于外科手术中的一种常见病，以老年患者最为常见 ［1］。本文选取2013年10月到2014年11月我院接诊的32例腹股沟疝手术患者，按照入院的先后顺序分为实验组和对照组，实验组采用局部麻醉，对照组采用硬膜外麻醉，两组患者的治疗效果，现报告如下。

1　资料和方法

1.1　一般资料

选取2013年10月～2014年11月我院接诊的32例腹股沟疝手术患者，按照入院的先后顺序分为两组，实验组和对照组，实验组17例，其中男性12例，女性5例，年龄范围：35～79岁，平均年龄（60.2±3.2）岁；腹股沟疝类型：直疝4例，斜疝10例，股疝3例。对照组15例，其中男性11例，女性4例，年龄范围：38～76岁，平均年龄（61.1±3.7）岁；腹股沟疝类型：直疝3例，斜疝10例，股疝2例。……