Comparative study of analgesic effect of simple lidocaine and ropivacaine-plus in inguinal hernia tension-free repair in adults

VernacularTitle:罗哌卡因联合利多卡因与单纯利多卡因局部麻醉对成人腹股沟疝无张力修补术后镇痛效果的对比分析
Author: Fan WANG ; Fuqiang CHEN ; Yingmo SHEN ; Jie CHEN
Publication Type:Journal Article
Keywords: Hernia,inguinal; Analgesia; Ropivacaine
From: Chinese Journal of General Surgery 2016;31(9):736-738
CountryChina
Language:Chinese
Abstract: Objective To investigate the analgesic effect of lidocaine plus ropivacaine in inguinal hernia tension-free repair under local anesthesia.Methods A total of 815 patients with unilateral inguinal hernia admitted to Chaoyang Hospital from July 2013 to Jane 2014 were enrolled in this retrospective study.The patients were divided into 2 groups:local anesthesia using a combination of 1％ lidocaine (l0 ml) and 0.75％ ropivacaine (10 ml) in observation group (n =412),and 1％ lidocaine (20 ml) were administered in control group (n =403).Postoperatively heart rate (HR),mean arterial pressure (MAP),pain intensity (VAS),analgesic demand,adverse events and hospital duration were assessed.Results There was no significant difference between the 2 groups in postoperative hemodynamic monitoring (all P ＞ 0.05).VAS score in observation group were lower than those in control group at 1,3,6 and 9 h.The former needed significantly less pain killer (all P ＜ 0.05).Conclusion Ropivacaine decreases postoperative pain level after tension-free inguinal hernia repair without additional risk of perioperative events.