Clinical Research
Comparison of three nerve block methods in inguinal tension-free hernioplasty of the elders
Ying Li, Yinglan Su, Qian Yuan, Qiuli Zhang, Yaoxian Zhang, Yuehui Zhou, Qi Zhang, Zhongjun Zhang
Published 2015-09-15
Cite as Chin J Neuromed, 2015, 14(9): 945-949. DOI: 10.3760/cma.j.issn.1671-8925.2015.09.017
Abstract
ObjectiveTo find a satisfactory way of anesthesia for inguinal surgery of the elders.
MethodsInguinal tension-free hernioplasty was performed in 60 elderly patients in our hospital from June 2010 to April 2015; according to the anesthesia methods, three groups (n=20) were divided: patients from Group A were used spinal canal anesthesia, those from Group B were used local anesthesia and those from Group C were used ultrasound guided ilioinguinal-iliohypogastric nerve block. Blood pressure and heart rate, intra-operative and postoperative analgesic dosages, intra-operative visual analogue scale (VAS), postoperative urinary retention and anesthesia satisfaction were compared among the three groups at difference time points.
ResultsAs compared with those in group A before anesthesia (T0) and 24 h after surgery (T5), the blood pressure and heart rate in Group A after the anesthesia (T1), after skin incision (T2), right after surgery (T3) and 6 h after surgery (T4) were significantly decreased (P<0.05). The blood pressure and heart rate in Group A were significantly lower than those in the other two groups at T1, T2, T3 and T4 (P<0.05). Intra-operative tramadol dosage in group B was significantly higher than that in the other two groups (P<0.05), while post-operated tramadol dosage in group C was statistically higher than that in the other two groups (P<0.05). Postoperative urinary retention appeared in all patients of group A, while not in other two groups. Intra-operative VAS scores in group B were significantly higher than those in the other two groups (P<0.05). Post-operative VAS scores in group A were significantly higher than those in the other two groups (P<0.05). Patients in group C had the highest satisfactory evaluation (mean rank in group A, group B and group C were 42.95, 28.28 and 20.27).
ConclusionThe effect of ultrasound guided ilioinguinal-iliohypogastric nerve block is exact, enjoying good intra-operative and postoperative analgesic effect, small influence on hemodynamics in patients, low incidence of postoperative urinary retention and high patient satisfaction; therefore, it is an ideal anesthesia of the inguinal surgery of the elders.
Key words:
Ultrasound; Ilioinguinal-iliohy pogastrec nerve; Nerve block; Ropivacaine; Inguinal hernia
Contributor Information
Ying Li
Anesthesia Department, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China
Yinglan Su
Anesthesia Department, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China
Qian Yuan
Qiuli Zhang
Anesthesia Department, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China
Yaoxian Zhang
Anesthesia Department, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China
Yuehui Zhou
Anesthesia Department, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China
Qi Zhang
Anesthesia Department, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China
Zhongjun Zhang
Anesthesia Department, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China
