无张力疝修补术后慢性疼痛相关因素分析

秦平

（陕西省蒲城县中医医院，陕西 渭南，715500）

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摘要：

目的 探讨发生无张力疝修补术后发生慢性疼痛的相关因素。方法 选择我院2009年1月至2015年12月收治的193例行无张力疝修补术患者，术后随访1年，将术后存在手术侧腹股沟区疼痛患者设为观察组，术后无手术侧腹股沟区疼痛患 者设为对照组。比较两组患者的临床资料，观察术后存在手术侧腹股沟区疼痛的影响因素。结果 术后发生慢性疼痛21 例，疼痛发生率为10.89%（21/193）；两组患者在腹股沟疝分型、是否首次、术前术区疼痛、术中麻醉方式、术中神经保护情况、术 后切口感染方面有差异（P<0.05）。Logistic 回归分析结果显示，复发疝、术中未保护神经、术前术区疼痛、局部浸润麻醉、术后 切口感染是无张力疝修补术后慢性疼痛的独立危险因素（P<0.05）。结论 导致无张力疝修补术后慢性疼痛的因素较多，应以 预防为主，合理选择麻醉方式，严格规范手术操作，术中注意保护神经。

关键词：无张力疝修补术；慢性疼痛；相关因素

中图分类号：R656.2文献标志码：A文章编号：2096-1413(2017)32-0070-02

Correlative factors analysis of chronic pain after tension-free herniorrhaphy
QIN Ping
(Traditional Chinese Medicine Hospital of Pucheng County, Weinan 715500, China)

ABSTRACT: Objective To explore the correlative factors of chronic pain after tension-free herniorrhaphy. Methods A total of 193 cases of patients with tension-free herniorrhaphy from January 2009 to December 2015 were selected and followed up for 1 year. After operation, the patients with chronic pain were selected as the observation group and patients without chronic pain were the control group. The clinical data was observed in the two groups, and related factors of chronic pain after tension-free herniorrhaphy were analyzed. Results There were 21 cases of postoperative chronic pain occurred, the incidence of pain was 10.89% (21/193); there were significant differences in the inguinal hernia classification, whether the first time, preoperative surgery area pain, intraoperative anesthesia way, intraoperative neurological protection, postoperative incision infection in the two groups (P<0.05). Logistic regression analysis showed that recurrent hernia,
intraoperative unprotected the nerve, preoperative surgery area pain, local anesthesia, postoperative incision infection were the independent risk factors for chronic pain after tension -free herniorrhaphy (P<0.05). Conclusion There are many correlative factors of chronic pain after tension-free herniorrhaphy, prevention should be mainly conducted, and choose the reasonable anesthesia way, strictly regulate the operation, protect the nerve intraoperative attention.
KEYWORDS: tension-free herniorrhaphy; chronic pain; correlative factors

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