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[输精管结扎术中的腹股沟精索阻滞]

[Inguinal funicular block in vasectomy].

作者信息

Rasmussen L A, Sørensen E W, Sørensen C, Eldrup J

机构信息

Kirurgisk afdeling, Frederikssund Sygehus.

出版信息

Ugeskr Laeger. 1994 Jun 6;156(23):3501-2.

PMID:8066868
Abstract

The analgesic efficacy of inguinal funicular block with 10 ml carbocaine 1% as a supplement to local infiltration analgesia of the vas deferens was investigated in patients undergoing vasectomy. Pain/discomfort during vasectomy and on the first and third day postoperatively were investigated using a questionnaire. Fifty-seven male patients scheduled for legal sterilization were randomized and allocated in a double-blinded manner to receive the 10 ml carbocaine 1% in the right or left side and 10 ml isotonic NaCl in the contralateral side, the patient then being his own control. There was significantly less intraoperative pain on the side of the active inguinal funicular block (p < 0.0001), but no significant differences were found at the first and third postoperative day (p = 1.16-1.19). Inguinal funicular block can be recommended as a supplement to the usual use of local infiltration analgesia of the vas deferens.

摘要

在接受输精管切除术的患者中,研究了10毫升1%卡波卡因腹股沟精索阻滞作为输精管局部浸润麻醉补充剂的镇痛效果。使用问卷调查了输精管切除术中以及术后第一天和第三天的疼痛/不适情况。57名计划进行合法绝育的男性患者被随机分组,并以双盲方式分配,在右侧或左侧接受10毫升1%卡波卡因,对侧接受10毫升等渗氯化钠,患者自身作为对照。主动腹股沟精索阻滞侧的术中疼痛明显减轻(p<0.0001),但术后第一天和第三天未发现显著差异(p=1.16-1.19)。腹股沟精索阻滞可推荐作为输精管常规局部浸润麻醉的补充。

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