Effects of different anesthetic methods on the patients quality of recovery score and surgical satisfaction after oblique inguinal hernia repair
10.3969/j.issn.1001-6325.2017.12.017
- VernacularTitle:不同麻醉方式对腹股沟斜疝修补术后患者康复指数及外科满意度的影响
- Author:
Ying WANG
1
;
Xie WU
;
jian Li PEI
Author Information
1. 中国医学科学院北京协和医学院北京协和医院麻醉科
- Keywords:
spinal anesthesia ( SA);
nerve-blocking anesthesia ( NB);
oblique inguinal hernia repair ( OIHR)
- From:
Basic & Clinical Medicine
2017;37(12):1746-1749
- CountryChina
- Language:Chinese
-
Abstract:
Objective Through a prospective randomized controlled study , comparing the effects of three different anesthetic methods on the patients quality of recovery ( QoR ) score and surgical satisfaction after oblique inguinal hernia repair ( OIHR) .Methods Ninety patients who had underwent OIHR were divided into three groups:nerve block group(NB), spinal anesthesia group(SA) and combination of NB and single low-dose SA group(NB+SA). The first two were treated as control groups .Each group had equally thirty cases .The primary outcome was QoR score and surgical satisfaction , while the secondary outcomes included intraoperatively-adjuvant intravenous admin-istration, mean blood pressure (MBP) and heart rate (HR) during operation.Results The QoR score (median, interquartile range ) in NB+SA group was significantly higher than that of NB group and SA group in the first day af-ter surgery (P<0.05),which was NB group QoR 15(13,18),SA group QoR 16(15,17) and NB+SA group QoR 18(16,19)respectively.The second day after the surgery, the QoR score (median, interquartile range) in NB+SA group was still higher than that of SA group (P<0.05),which was correspondingly NB group QoR 18(15,20), SA group QoR 17(16,19) as well as NB+SA group QoR 20(18,20).As for surgical satisfaction, surgeons are more content with the method of NB+SA than that of SA and NB ( P<0.05 ) .In terms of adjuvant intravenous administra-tion, it was most common in NB group followed by NB +SA group and SA group ( P<0.05 ) .Conclusions Compared to NB and SA , patients with NB+SA have higher QoR and surgical satisfaction after surgery .
