罗哌卡因局部浸润法改善腹腔镜胆囊切除术后疼痛的临床观察被引量：15

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摘要目的观察罗哌卡因局部浸润用于腹腔镜胆囊切除患者术后的镇痛效果。方法 60例择期行腹腔镜胆囊切除患者随机分成罗哌卡因局部浸润组和对照组,两组麻醉诱导、维持方法相同,均采用静脉麻醉联合气管插管,浸润组在手术开始时及结束时予以剑突下穿刺处注射罗哌卡因局部浸润,对照组未予以上述药物处理。术后持续监测心电监护、无创血压、呼吸、氧饱和度,记录术后3 h、6 h及12 h VAS评分,术后应用盐酸布桂嗪次数及恶心呕吐的情况。结果浸润组术后3 h、6 h及12 h的VAS评分低于对照组差异有统计学意义(P<0.05),术后额外使用镇痛药及恶心呕吐的人数均少于对照组,但差异不具有统计学意义(P>0.05)。结论罗哌卡因局部浸润法用于腹腔镜胆囊切除患者,术后镇痛效果良好。

作者胡益挺洪春英方哲平王爱东

机构地区台州医院肝胆外科台州医院妇科

出处《肝胆胰外科杂志》 CAS 2016年第6期511-513,共3页 Journal of Hepatopancreatobiliary Surgery

关键词胆囊切除术腹腔镜术后镇痛局部浸润罗哌卡因

分类号 R657.4 [医药卫生—外科学] R614 [医药卫生—麻醉学]

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参考文献7

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