试分析腹腔内左布比卡因对妇科腹腔镜术后镇痛效果的观察

Clinical Observation of Levobupivacaine on Analgesic after Laparoscopic Surgery

目的探讨妇科腹腔镜手术后腹腔内左布比卡因用于术后镇痛的临床效果。方法选取于2010年3月到2013年5月到我院采用腹腔镜手术的128例妇科患者,将她们随机分为两组,观察组和对照组,所有患者择期进行腹腔镜下妇科手术,观察组术后腹腔内注入0.25%左布比卡因20mL,对照组注射生理盐水20mL,分别于术后进行疼痛程度评估。结果术后观察组病人各疼痛部位在48h内疼痛程度评分均小于对照组(P<0.05)。结论妇科腹腔镜手术后采用腹腔内注射0.25%左布比卡因用于镇痛安全有效,应予以推广。

Objective To evaluate laparoscopic surgery left after intraperitoneal bupivacaine for postoperative analgesia clinical results. Methods 128 cases in our hospital with gynecologic laparoscopic surgery patients were randomly divided into observation group and control group, all patients undergoing elective laparoscopic gynecological surgery, then observation group injected 20mL 0.25% levobupivacaine and control group received normal saline 20ml, postoperative pain were assessed. Results The postoperative pain location in each group of patients within 48 hours of pain scores were less than the control group （P 〈0.05）. Conclusions Laparoscopic surgery using intraperitoneal injection of 0.25% levobupivacaine for analgesia safe and effective, and should be promoted.