摘要
目的 研究腹股沟疝患者在腹腔镜下经腹腔腹膜前修补术后疼痛感受及手术切口舒适度的相关影响。方法 抽取2021年3月至2023年12月信阳市商城县上石桥镇中心卫生院收入的62例腹股沟疝患者进行回顾性分析,根据手术方式的不同分为A组与B组,各31例,A组接受开放式腹膜前间隙疝修补术,B组接受腹腔镜下经腹腔腹膜前疝修补术,两组术后疼痛、围术期相关指标、应激反应指标及切口满意度组间比较。结果 B组患者术后1 d、术后3 d及术后7 d疼痛评分均低于A组,差异有统计学意义(P <0.05);B组患者首次下床活动、术后疼痛持续时间及住院时间均短于A组,且术中出血量低于A组,差异有统计学意义(P <0.05),而两组患者手术用时相比,差异无统计学意义(P> 0.05);B组患者术后24 h肾上腺素(E)、皮质醇(Cor)及β-内啡肽(β-EP)水平均低于A组,差异有统计学意义(P <0.05);B组患者切口满意度高于A组,差异有统计学意义(P <0.05)。结论 对于腹股沟疝患者开展腹腔镜下经腹腔腹膜前疝修补术具有积极意义,其可有效缓解术后疼痛,提高切口满意程度,同时能有效降低术后应激反应,具有临床应用价值。
Objective To study the impact of laparoscopic transabdominal preperitoneal hernia repair on postoperative pain perception and incision comfort in patients with inguinal hernia.Methods A retrospective analysis was conducted on 62 patients with inguinal hernia admitted to Shangcheng County Shangshiqiao Town Central Health Center from March 2021 to December 2023.According to the different surgical methods,they were divided into Group A and Group B,with 31 cases in each group.Group A received open preperitoneal space hernia repair,while Group B received laparoscopic transabdominal preperitoneal hernia repair.Postoperative pain,perioperative indicators,stress response indicators,and incision satisfaction were compared between the two groups.Results The pain scores of Group B patients on postoperative day 1,day 3,and day 7 were lower than those of Group A,with statistically significant differences(P<0.05).The time to first ambulation,duration of postoperative pain,and hospital stay in Group B were shorter than those in Group A,and intraoperative blood loss was lower in Group B,with statistically significant differences(P<0.05).There was no statistically significant difference in the operation time between the two groups(P>0.05).The levels of adrenaline(E),cortisol(Cor),andβ-endorphin(β-EP)in Group B at 24 hours postoperatively were lower than those in Group A,with statistically significant differences(P<0.05).The incision satisfaction in Group B was higher than that in Group A,with statistically significant differences(P<0.05).Conclusion Laparoscopic transabdominal preperitoneal hernia repair has positive significance for patients with inguinal hernia.It can effectively alleviate postoperative pain,improve incision satisfaction,and reduce postoperative stress response,making it valuable for clinical application.
作者
陶笃学
TAO Duxue(Department of Surgery,Shangcheng County Shangshiqiao Town Central Health Center,Xinyang Henan 465313,China)
出处
《临床研究》
2024年第10期42-44,共3页
Clinical Research
关键词
腹股沟疝
腹腔镜下经腹腔腹膜前疝修补术
开放式腹膜前间隙疝修补术
术后疼痛
切口满意度
inguinal hernia
laparoscopic transabdominal preperitoneal hernia repair
open preperitoneal space hernia repair
postoperative pain
incision satisfaction
