Abstract：Objective To comparatively study the clinical efficacy of elderly indirect inguinal hernia opration under ilioinguinal-iliohypogastric nerve block and combined spinal-epidural anesthesia. Methods This study included sixty ASA Ⅱ-Ⅲ elderly male patients, undergoing high ligation of hernial sac and indirect inguinal hernia repair. The patients were randomly divided into two groups: group of ilioinguinal-iliohypogastric nerve block and group of combined spinal-epidural anesthesia. HR(heart rate), MAP(mean arterial pressure)and SpO2 were measured at 4 time points, entering the operating room, before skin incision, 15 min after incision, and end of operation. Anesthesia proceeding time, average recovery time, anesthesia effect assessment and cases of urinary retention were recorded during and after operation. Results (1) HR, MAP, SpO2 were not significantly different at each time point in both groups(P＞0.05). (2) Anesthesia proceeding time and average recovery time in the group of the nerve block were (3.0±0.8) min and (3.5±1.0)h respectively, in the group of combined spinal-epidural anesthesia were (14.8±1.0)min and(9.0±1.3)h respectively,with significant differences(P<0.05). (3) Anesthesia effect assessment: there were 28 cases of grade Ⅰand 2 cases of grade Ⅱ in the group of the nerve block , and 29 cases of grade Ⅰand 1 case of grade Ⅱ in the group of combined spinal-epidural anesthesia, there was no significant differences between the two groups. (4) Cases of urinary retention after operation in the group of nerve block (2 cases) was less than in the group of combined spinal-epidural anesthesia (12 cases)(P<0.05). Conclusions High ligation of hernial sac and indirect inguinal hernia repair for elderly patients under ilioinguinal-iliohypogastric nerve block is characterized by simplicity and safety, good effect, rapid recovery and less complication. It is better than combined spinal-epidural anesthesia.
孙丽娜, 赵军舰. 老年腹股沟斜疝两种麻醉方式的效果比较[J]. 武警医学, 2015, 26(6): 570-572.
SUN Lina ZHAO, JunJian. Comparative study on elderly patients with indirect inguinal hernia operation under two different methods of anesthesia. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(6): 570-572.
Gultekin F A, Kurukahvecioglu O, Karamercan A, et al. A prospective comparison of local and spinal anesthesia for inguinal hernia repair[J].Hernia,2007,11(2):153-156.
2015, Vol. 26 
