关键词: 腰麻, 神经阻滞, 腹股沟斜疝修补术

Abstract: Objective Through a prospective randomized controlled study, comparing the effects of three different anesthetic methods on the Patients Quality of Recovery Score (QoR) 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 administration, 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 after 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+SA group QoR 20（18，20），NB group QoR 18.5（15，20）as well as SA group QoR 17（16，19）. 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 administration, 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.

Key words: spinal anesthesia (SA) , nerve-blocking anesthesia (NB), oblique inguinal hernia repair (OIHR)