研究局部浸润麻醉在老年腹股沟疝患者中的应用。

回顾性分析2016年10月至2017年7月，解放军第105医院在局部浸润麻醉下行腹股沟疝无张力修补55例老年男性患者的临床资料。

所有患者均成功手术，手术时间55～95 min，术中血氧饱和度均正常，32例患者术中出现血压上升，18例患者出现心率增快。术中出现疼痛共11例。术后2、12、24 h的视觉模拟评分法（visual analogue scale，VAS）评分均在3分以下。术后患者正常进食，下床排便，无尿潴留现象。2例患者出现血清肿，予以抽吸后好转，无切口感染。

老年腹股沟患者行开放无张力修补术，应用局部浸润麻醉，操作简单，麻醉并发症少，患者术后恢复快，满意度较高。

To study the clinical efficacy of local infiltrative anesthesia in inguinal hernia operation in elderly patients.

The clinical data of 55 elderly male patients who underwent tension-free hernioplasty under local infiltrative anesthesia in No.105 Hospital of PLA from October 2016 to July 2017 were analyzed.

All the patients underwent the operation successfully. The operation time was 55 to 95 minutes, and the oxygen saturation was normal during operation. Elevated blood pressure was observed in 32 cases and rapid heart rate in 18 cases. Intraoperative pain occurred in 11 patients. The pain scores (VAS) were≤3 at 2 hours, 12 hours, and 24 hours after surgery. All the patients were able to eat and defecate well, no retention of urine. 2 patients were suffered from seroma and cured by puncture, and there were no incision infection.

For elderly patients with inguinal hernia, operation under local infiltrative anesthesia is a relatively simple procedure with lower risk of complication, quicker recovery and a high degree of patient satisfaction.