International Journal of Clinical Research
International Journal of Clinical Research. 2026; 10: (6) ; 10.12208/j.ijcr.20260318 .
总浏览量: 36
墨江县中医医院麻醉科 云南普洱
*通讯作者： 潘文豪,单位：墨江县中医医院麻醉科 云南普洱; ；
目的 探讨腹股沟疝手术中使用局部神经阻滞麻醉与腰硬联合麻醉的成效。方法 研究选择2025年1月-2026年1月期间在本院进行腹股沟疝手术的60例患者作为研究的样本，为了确保最终结果的有效性，本次研究采用对照形式，通过随机数字表法将患者分为两组，即每一组均分配到30例患者，前30例为对照组采用腰硬联合麻醉，后30例采用局部神经阻滞麻醉与腰硬联合麻醉，以此比较两种麻醉方式在术中的镇痛效果、术后恢复时间、并发症发生率的差异。结果 观察组的疼痛程度更低（P＜0.05）；观察组的镇痛药物追加次数和剂量均更低（P＜0.05）；观察组的术后恢复时间更短（P＜0.05）；观察组的并发症发生人数与发生率更具优势（P＜0.05）。结论 腹股沟疝手术中使用局部神经阻滞麻醉与腰硬联合麻醉的成效显著，能够有效提高镇痛效果，缩短术后恢复时间，降低并发症发生率，值得临床进一步推广应用。
Objective To explore the effectiveness of local nerve block anesthesia and combined spinal epidural anesthesia in inguinal hernia surgery. Methods A total of 60 patients who underwent inguinal hernia surgery in our hospital from January 2025 to January 2026 were selected as the study sample. In order to ensure the validity of the final results, this study used a controlled form and randomly divided the patients into two groups using a random number table method. Each group was assigned 30 patients, with the first 30 patients in the control group receiving lumbar epidural anesthesia and the last 30 patients receiving local nerve block anesthesia and lumbar epidural anesthesia. The differences in analgesic effects, postoperative recovery time, and incidence of complications between the two anesthesia methods were compared during surgery. Results The pain level in the observation group was lower (P<0.05); The observation group had lower frequency and dosage of analgesic drug addition (P<0.05); The postoperative recovery time of the observation group was shorter (P<0.05); The observation group had a greater advantage in the number and incidence of complications (P<0.05). Conclusion The use of local nerve block anesthesia and combined spinal epidural anesthesia in inguinal hernia surgery has significant effects, which can effectively improve the analgesic effect, shorten the postoperative recovery time, and reduce the incidence of complications. It is worthy of further clinical promotion and application.
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