摘要
目的使用前瞻性随机对照方法研究开腹手术后使用切口镇痛泵持续切口浸润麻醉的镇痛疗效和副反应。方法收集2011年5月至2012年5月间在我院普外科接受经右侧肋缘下切口进行开腹手术的30例患者(手术由同一组医生完成),随机分成两组:对照组(生理盐水持续切口浸润,n=15)和切口镇痛泵组(罗哌卡因持续切口浸润麻醉,n=15),所有患者同时使用舒芬太尼静脉麻醉自控泵,分别记录术后疼痛评分、累计舒芬太尼使用量、恶心呕吐发生、术后镇静评分、肠道功能恢复时间、住院时间、有无切口感染等。结果使用切口镇痛泵进行术后切口局部持续浸润麻醉无明显副作用。与对照组相比,使用切口镇痛泵组具有更好的术后镇痛效果(P<0.05),更少的舒芬太尼使用量(P<0.05),更短的肠道功能恢复时间(P<0.05)和平均住院时间(P<0.05)。结论使用切口镇痛泵进行切口持续浸润麻醉是一种安全有效的术后止痛方法,可以加速患者术后恢复,减少住院时间。
Objective To assess the analgesic effect and side effect of continuous local anesthetic infiltrationafter laparotomy in this randomized controlled study. Methods From May 2011 to May 2012, thirty cases of laparotomy by right subcostal incision were randomly divided into two groups： control group （continuous local anesthetic infiltration by normal saline, n=15） and incision analgesia pump group （continuous local anesthetic infiltration by ropivacaine, n=15）. All patients from both groups used sufentanil intravenous anesthesia controlled pump simutaneously. Postoperative pain score, accumulative usage volume of sufentanil, postoperative nausea and vomiting, sedation score, intestinal function recovery time, hospitalization time and incision infection were recorded. Results There was no obvious side effect on pain controlling by continuous local ropivacaine infiltra- tion using incision analgesia pump. Compared with the control group, the incision analgesia pump group had significantly better postoperative pain control （P〈0.05）, less accumulative usage volume of sufentanil （P〈0.05）, shorter recovery time of the bowel function （P〈0.05） and mean hospitalization time （P〈0.05）. Conclusion The continuous local ropivacaine infiltration using incision analgesia pump is a safe and effective method for postop- erative pain relief. It could accelerate postoperative recovery and reduce hospitalization time.
出处
《肝胆胰外科杂志》
CAS
2013年第3期207-209,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
局部麻醉
罗哌卡因
切口浸润
术后镇痛
local anesthesia
ropivacaine
incision infiltration
postoperative analgesia
