多区域浸润麻醉减轻腹腔镜胆囊切除术后早期症状

Multi-regional Local Anesthetic Infiltration Reliving the Early Symptoms after Laparascopic Cholecystectomy

目的探讨躯体、内脏局部浸润麻醉对择期腹腔镜胆囊切除术后疼痛、恶心症状的影响。 方法随机将 5 0例病人分为对照组和实验组 ,在门静脉周围和腹膜内分别浸润生理盐水 6 6ml和罗吡卡因 6 6ml;术后 3h记录疼痛和恶心的程度、部位及所补充的哌替啶用量。 结果罗吡卡因局部浸润可减轻术后 3h的切口疼痛和恶心症状 ,但对腹内和肩部疼痛无明显效果 ;且术后 3h所补充的哌替啶的用量显著减少。 结论躯体、内脏局部浸润麻醉可减轻术后 3h的切口疼痛。

Objective We investigated the effects of somato-visceral local anesthetic blockade on pain and nausea in patients undergoing elective laparoscopic cholecystectomy. Methods Fifty patients were randomized to receive a total of 286mg (66ml) ropivacaine or 66ml saline via periportal and intraperitoneal infiltration. During the first 3h postoperatively, intensity of pain, localization of pain and supplementation of phethidine were recorded. Results Ropivacaine alleviated incisional pain and nausea for the first 3h postoperatively ( P <0 05),but had no apparent effects on intraabdominal or shoulder pain. During the first 3h postoperatively, pethidine requirements decreased significantly too ( P <0 05). Conclusion Somato-visceral local anesthetic blockade reduced pain, nausea and pethidine requirements during the first 3h postoperatively.