Abstract:

Anesthetic considerations in elderly patients with inguinal hernia        LANG Fei-fei, CAI Yu-xi, GU Wei-dong. Department of Anesthesiology, Huadong Hospital, Fudan University, Shanghai 200040,China
Corresponding author: GU Wei-dong,E-mail:mcwgwd@163.com
Abstract    Majority of elderly patients with inguinal hernia have systemic disease including hypertension, diabetes mellitus, coronary heart disease and chronic bronchitis. Their reserve function of heart and lung significantly decreased. It is important to choose appropriate anesthetic method according to the pathophysiology of those patients. There are many options of anesthesia for inguinal hernia repair in elderly patients, including spinal anesthesia, general anesthesia, regional anesthesia and local anesthesia. Common postoperative complications include urinary retention, delirium and chronic pain. Selecting the appropriate anesthesia based on patient characteristics and operative approach is helpful to reduce postoperative complications and optimize postoperative recovery.

Key words: elderly, inguinal hernia, anesthesia, complication

摘要：

老年腹股沟疝病人多伴有高血压、糖尿病、冠心病和慢性支气管炎等全身性疾病，心肺储备功能降低，重视其病理生理学特点，合理选择麻醉方法十分重要。老年腹股沟疝修补术的麻醉方式较多，包括椎管内麻醉、全身麻醉、区域神经阻滞，局部麻醉等多种方式；术后常见并发症包括尿潴留、谵妄和慢性疼痛等。根据病人自身特点及手术需要选择合适的麻醉方法并采用针对性措施减少术后并发症，可以加速病人术后康复。

关键词: 老年, 腹股沟疝, 麻醉, 并发症