罗哌卡因在腹腔镜胆囊切除术快通道麻醉中的效果探讨
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摘要
目的探究在腹腔镜胆囊切除手术快通道麻醉中使用罗哌卡因的应用效果。方法选取2016年1月—2018年8月进入该院采取腹腔镜切除术治疗的胆囊疾病的患者共82例,将患者随机分为两组,对照组患者在手术时采取全身麻醉,研究组患者在全身麻醉的基础上辅加罗哌卡因麻醉,比较治疗效果。结果研究组平均苏醒时间(4.27±0.87)min显著优于对照组,比较差异有统计学意义(t=6.39,P<0.05);研究组术后烦躁发生率12.20%(5/41)显著低于对照组36.59%(15/41),比较差异有统计学意义(χ~2=4.66,P<0.05)。研究组手术完成后3、6、12 h的疼痛评分均低于对照组,差异有统计学意义(P<0.05),两组24 h疼痛评分比较差异无统计学意义(P>0.05);研究组不良发应发生率为9.76%与对照组比较差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术快通道麻醉中给予罗哌卡因能够缩短患者苏醒时间,同时具有术后切口镇痛的良好效果,不良反应发生率低,具有临床应用价值。
Objective To investigate the effect of ropivacaine in fast-track anesthesia for laparoscopic cholecystectomy.Methods A total of 82 patients with gallbladder disease who underwent laparoscopic resection in the hospital from January 2016 to August 2018 were enrolled. The patients were randomly divided into two groups. The patients in the control group underwent general anesthesia during surgery. On the basis of general anesthesia, ropivacaine anesthesia was added to compare the therapeutic effects. Results The average recovery time of the study group(4.27±0.87) min was significantly better than that of the control group, and the difference was statistically significant(t=6.39, P<0.05). The incidence of postoperative irritability 12.20%(5/41) in the study group was significantly lower than that of the control group was 36.59%(15/41), and the difference was statistically significant(χ~2=4.66, P<0.05). The pain scores of the study group at 3 h, 6 h, and 12 h after operation were lower than those of the control group(P<0.05). There was no significant difference in pain scores between the two groups at 24 h(P>0.05). The incidence of adverse in the study group was9.76%. The difference in group comparison was statistically significant(P <0.05). Conclusion The administration of ropivacaine in fast-track anesthesia for laparoscopic cholecystectomy can shorten the recovery time of patients, and has a good effect of postoperative incision analgesia. The incidence of adverse reactions is low and has clinical application value.
Objective To investigate the effect of ropivacaine in fast-track anesthesia for laparoscopic cholecystectomy.Methods A total of 82 patients with gallbladder disease who underwent laparoscopic resection in the hospital from January 2016 to August 2018 were enrolled. The patients were randomly divided into two groups. The patients in the control group underwent general anesthesia during surgery. On the basis of general anesthesia, ropivacaine anesthesia was added to compare the therapeutic effects. Results The average recovery time of the study group(4.27±0.87) min was significantly better than that of the control group, and the difference was statistically significant(t=6.39, P<0.05). The incidence of postoperative irritability 12.20%(5/41) in the study group was significantly lower than that of the control group was 36.59%(15/41), and the difference was statistically significant(χ~2=4.66, P<0.05). The pain scores of the study group at 3 h, 6 h, and 12 h after operation were lower than those of the control group(P<0.05). There was no significant difference in pain scores between the two groups at 24 h(P>0.05). The incidence of adverse in the study group was9.76%. The difference in group comparison was statistically significant(P <0.05). Conclusion The administration of ropivacaine in fast-track anesthesia for laparoscopic cholecystectomy can shorten the recovery time of patients, and has a good effect of postoperative incision analgesia. The incidence of adverse reactions is low and has clinical application value.
引文
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[6]黄赛赛,周伟伟,沈施仁,等.不同浓度罗哌卡因腹横肌平面阻滞在腹腔镜下胆囊切除术后镇痛中的应用[J].交通医学,2016,30(4):355-356.
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[2]吴红华,董梅珍.罗哌卡因局部浸润联合多瑞吉贴膜对腹腔镜胆囊切除术后的镇痛效果及安全性评价[J].实用药物与临床,2014.17(3):302-304.
[3]郭飞,宋杰.双侧腹横肌平面罗哌卡因阻滞对腹腔镜胆囊切除患者术后呼吸功能和疼痛的影响[J].江苏医药,2016,42(13):1496-1498.
[4]孟佳骝,钟红辉,杨武,等.腹腔镜胆囊切除术快通道麻醉中罗哌卡因的效果分析[J].牡丹江医学院学报,2016,37(1):89-90.
[5]孙万林,王波.腹腔镜胆囊切除术中局部使用手术止血纱及罗哌卡因对患者术后恢复的影响[J].中国保健营养,2016,26(12):255.
[6]黄赛赛,周伟伟,沈施仁,等.不同浓度罗哌卡因腹横肌平面阻滞在腹腔镜下胆囊切除术后镇痛中的应用[J].交通医学,2016,30(4):355-356.
[7]孙金春.应用罗哌卡因局部浸润对腹腔镜胆囊切除术患者的镇痛作用分析[J].中国医药科学,2017,9(7):239-241.