梁志军

摘要：目的：探讨在治疗腹股沟疝时采用局部神经阻滞麻醉与腰硬联合麻醉的效果。方法：选取2020年3月到2021年3期间我院收治的腹股沟疝患者，共计80例，随机数字表法分2组，对照组采取腰硬联合麻醉，研究组实施局部神经阻滞麻醉，对比麻醉效果。结果：研究组各项临床指标优于对照组;研究组麻醉有效率明显高于对照组，P<0.05。结论：在腹股沟疝手术中采取局部神经阻滞麻醉可减少术中出血量，提高麻醉效果，建议推广。

关键词：腹股沟疝;局部神经阻滞麻醉;腰硬联合麻醉;麻醉效果

Objective： To explore the effect of local nerve block anesthesia and combined spinal epidural anesthesia in the treatment of inguinal hernia. Methods： 80 patients with inguinal hernia in our hospital from March 2020 to March 2021 were selected and randomly divided into two groups. The control group was given combined spinal epidural anesthesia， and the study group was given local nerve block anesthesia. Results： The clinical indicators of the study group were better than those of the control group; the effective rate of anesthesia in the study group was significantly higher than that of the control group， P<0.05. Conclusion： local nerve block anesthesia in inguinal hernia surgery can reduce intraoperative blood loss and improve anesthetic effect， which is recommended to be popularized.

Key words： inguinal hernia; Local nerve block anesthesia; Combined spinal epidural anesthesia; Anesthetic effect

腹股沟疝是临床发病率较高的疾病，该疾病很容易引发肠坏死、肠梗阻、肠穿孔等并发症，严重危及患者的生命安全[1]。临床多采取腹股沟疝无张力修补术治疗，本次研究主要探讨这两种麻醉方式的麻醉效果，汇报如下。

1资料与方法

1.1一般资料

选取80例我院收治的腹股沟疝患者，随机分2组，对照组纳入40例，男31例，女9例，年龄18-68岁，均龄（44.23±1.12）岁;研究组纳入40例，男32例，女8例，年龄18-70岁，均龄（44.32±1.21）岁，一般资料经分析无统计学意义，P>0.05。

1.2方法

两组患者均接受腹股沟疝无张力修补术治疗。

对照组：该组患者采取腰硬联合麻醉，在患处L3-4间隙处采取麻醉阻滞，注入1.5ml盐酸布比卡因注射液。采用传统切口，对提睾肌进行分离将疝囊暴露出来，横断大疝囊，将疝囊周围组织直到疝囊颈部进行分离，对疝囊颈进行高位结扎，在固定时将锥形网置于疝囊底部，成型补片放于精索后方处并将其固定好，最后将腹外斜肌腱膜与皮下组织进行缝合。……