Objective Analysis the influence of postoperative wound pain early in Inguinal hernia unstressing neoplasty append local anesthetics. Methods Selected 160 patients with inguinal hernia repair without tension as the object study, according to the operation of any additional drug and additional drug types were divided into no additional group, lidocaine group, bupivacaine group and ropivacaine group, compared with postoperative wound pain of time of four groups.Results Lidocaine group, bupivacaine group and ropivacaine group postoperative times of wound pain appeared were longer than the additional group, compared wiht bupivacaine group and ropivacaine group overtime with the lidocaine group,P<0.05, was difference had statistically significance. Compared bupivacaine group and ropivacaine group to extend the time, P>0.05, was no difference had statistically significance.Conclusion Inguinal hernia unstressing neoplasty append a local anesthetic may be extended postoperative pain time appears.%目的 分析腹股沟疝无张力修补术中追加局部麻醉药对术后伤口早期疼痛的影响.方法 选取160例行腹股沟疝无张力修补术患者,根据患者术中有无追加麻醉药及追加麻醉药种类将其分为未追加组、利多卡因组、布比卡因组及罗哌卡因组,对比分析4组患者术后伤口出现疼痛时间.结果 利多卡因组、布比卡因组及罗哌卡因组患者术后伤口疼痛出现时间均长于未追加组,且布比卡因组及罗哌卡因组的延长时间优于利多卡因组,P<0.05,差异具有统计学意义;布比卡因组及罗哌卡因组延长时间对比,P>0.05,差异不具有统计学意义.结论 腹股沟疝无张力修补术中追加局部麻醉药可延长患者术后出现疼痛的时间.
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