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[局部麻醉下的腹膜外“无张力”腹股沟疝修补术——对有效性和经济性的贡献]

[Extraperitoneal, "tension free" inguinal hernia repair with local anesthesia--a contribution to effectiveness and economy].

作者信息

Schmitz R, Shah S, Treckmann J, Schneider K

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1135-8.

PMID:9574357
Abstract

In this present randomized controlled study, two groups, each consisting of 45 patients, underwent tension-free inguinal hernia repair under general versus local anesthesia. Patients in the local anesthesia group described their pain during mobilisation by using the VAS and were found to have a significant pain level decrease from the first to the fifth postoperative day. In conclusion, it could be shown that tension-free hernia repair under local anesthesia is superior to tension-free hernia repair during general anesthesia concerning perception of pain and pain management.

摘要

在这项当前的随机对照研究中,两组各由45名患者组成,分别在全身麻醉和局部麻醉下接受无张力腹股沟疝修补术。局部麻醉组的患者使用视觉模拟评分法(VAS)描述了他们在活动期间的疼痛情况,结果发现从术后第一天到第五天疼痛水平显著降低。总之,可以表明,在疼痛感知和疼痛管理方面,局部麻醉下的无张力疝修补术优于全身麻醉下的无张力疝修补术。

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